# HCPCS A7031: Replacement facemask interfa

Medicare HCPCS A7031 pays $44.48 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural, NU · purchase, new). State amounts run from $41.70 in Texas to $74.80 in Puerto Rico, a 79% spread.

Web page: https://www.med-reveal.com/rates/A7031-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies
Billed by: Sleep Medicine

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $44.48 |
| National facility | $44.48 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Puerto Rico | $74.80 | $74.80 |
| Alaska | $66.25 | $66.25 |
| Hawaii | $66.25 | $66.25 |
| Virgin Islands | $66.25 | $66.25 |
| Connecticut | $43.57 | $43.57 |
| Maine | $43.57 | $43.57 |
| Massachusetts | $43.57 | $43.57 |
| New Hampshire | $43.57 | $43.57 |
| Rhode Island | $43.57 | $43.57 |
| Vermont | $43.57 | $43.57 |
| Colorado | $43.03 | $43.03 |
| Idaho | $43.03 | $43.03 |
| Montana | $43.03 | $43.03 |
| Utah | $43.03 | $43.03 |
| Wyoming | $43.03 | $43.03 |
| Alabama | $42.87 | $42.87 |
| Arkansas | $42.87 | $42.87 |
| Florida | $42.87 | $42.87 |
| Georgia | $42.87 | $42.87 |
| Kentucky | $42.87 | $42.87 |
| Louisiana | $42.87 | $42.87 |
| Mississippi | $42.87 | $42.87 |
| North Carolina | $42.87 | $42.87 |
| South Carolina | $42.87 | $42.87 |
| Tennessee | $42.87 | $42.87 |
| Virginia | $42.87 | $42.87 |
| West Virginia | $42.87 | $42.87 |
| Iowa | $42.33 | $42.33 |
| Kansas | $42.33 | $42.33 |
| Minnesota | $42.33 | $42.33 |
| Missouri | $42.33 | $42.33 |
| Nebraska | $42.33 | $42.33 |
| North Dakota | $42.33 | $42.33 |
| South Dakota | $42.33 | $42.33 |
| California | $42.16 | $42.16 |
| Nevada | $42.16 | $42.16 |
| Oregon | $42.16 | $42.16 |
| Washington | $42.16 | $42.16 |
| Delaware | $41.96 | $41.96 |
| District of Columbia | $41.96 | $41.96 |
| Maryland | $41.96 | $41.96 |
| New Jersey | $41.96 | $41.96 |
| New York | $41.96 | $41.96 |
| Pennsylvania | $41.96 | $41.96 |
| Illinois | $41.91 | $41.91 |
| Indiana | $41.91 | $41.91 |
| Michigan | $41.91 | $41.91 |
| Ohio | $41.91 | $41.91 |
| Wisconsin | $41.91 | $41.91 |
| Arizona | $41.70 | $41.70 |
| New Mexico | $41.70 | $41.70 |
| Oklahoma | $41.70 | $41.70 |
| Texas | $41.70 | $41.70 |

## Related codes

- A7027: Combination oral/nasal mask — https://www.med-reveal.com/rates/A7027-hcpcs-fee-schedule
- A7028: Repl oral cushion combo mask — https://www.med-reveal.com/rates/A7028-hcpcs-fee-schedule
- A7029: Repl nasal pillow comb mask — https://www.med-reveal.com/rates/A7029-hcpcs-fee-schedule
- A7030: Cpap full face mask — https://www.med-reveal.com/rates/A7030-hcpcs-fee-schedule
- A7032: Replacement nasal cushion — https://www.med-reveal.com/rates/A7032-hcpcs-fee-schedule
- A7033: Replacement nasal pillows — https://www.med-reveal.com/rates/A7033-hcpcs-fee-schedule

Commercial negotiated rates for A7031 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules
