HCPCS Code: A7028
Replacement Oral Cushion for Combo CPAP Mask (A7028)
Prices last updated: March 2026
Typical Healthcare System Prices
Private insurers typically reimburse about 2x the Medicare allowed amount.
Without insurance, providers typically charge 3–5x the Medicare allowed amount.
Original Medicare (Part B) covers 80% (~$40.00) after the $283 annual deductible. Your 20% coinsurance: ~$10.00. Medicare Advantage plans vary.
Estimated national averages. Actual costs vary by provider, region, and plan.
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Medicare Part B leaves you paying 20% out of pocket. Medicare Supplement (Medigap) plans can cover your coinsurance, deductibles, and more — potentially saving you thousands per year.
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About Replacement Oral Cushion for Combo CPAP Mask (A7028)
HCPCS code A7028 is the Medicare and insurance billing code for Replacement Oral Cushion for Combo CPAP Mask (A7028). This code is used by healthcare providers and insurance companies when prescribing and processing claims for this durable medical equipment (DME) item.
Respiratory equipment includes devices for oxygen therapy, sleep apnea treatment, and breathing assistance. CPAP and BiPAP machines are commonly prescribed for obstructive sleep apnea, while oxygen concentrators and nebulizers help patients with chronic respiratory conditions.
Many patients find that purchasing DME items like replacement oral cushion for combo cpap mask (a7028) directly on Amazon can be significantly cheaper than going through traditional healthcare channels, especially for those with high deductibles or limited insurance coverage.
Frequently Asked Questions
What is HCPCS code A7028?
HCPCS code A7028 is the Medicare and insurance billing code for Replacement Oral Cushion for Combo CPAP Mask (A7028). Healthcare providers use this code when prescribing and billing for this durable medical equipment (DME) item.
How much does Replacement Oral Cushion for Combo CPAP Mask (A7028) cost?
The typical private insurance price for Replacement Oral Cushion for Combo CPAP Mask (A7028) is $99.00. If paying cash without insurance, expect to pay around $175.00. The estimated Medicare Allowed Amount is $50.00. The same or equivalent product is available on Amazon for approximately $52.50.
How much does Medicare pay for Replacement Oral Cushion for Combo CPAP Mask (A7028)?
The estimated Medicare Allowed Amount for Replacement Oral Cushion for Combo CPAP Mask (A7028) is $50.00. Under Original Medicare Part B, Medicare covers 80% (approximately $40.00) after the annual deductible ($283 in 2026). Your 20% coinsurance would be approximately $10.00. Medicare Advantage plan costs vary.
Can I buy Replacement Oral Cushion for Combo CPAP Mask (A7028) on Amazon instead of through my insurance?
Yes. Many durable medical equipment items covered under HCPCS code A7028 are available on Amazon at up to 70% less than typical healthcare prices. This can be a smart option if you have a high deductible, high copay, or no insurance coverage for DME.
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