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Fisher & Pykel ICON
We now have "So CLEAN" machines!!
Is your CPAP equipment clean enough? SoClean makes it easier than ever to safely and naturally eliminate 99.9% of CPAP germs and bacteria. Eligible for HSA and FSA plans. Ask us about them today!
CPAP Equipment Request Form
Northwest Pulmonary and Sleep Medicine in Algonquin, IL wants you to be satisfied with the CPAP equipment we recommend and provide to you for your continued health and well-being. If you have commercial insurance, please use the online form below to send us a request for supplies, or ask questions about your durable medical equipment. Please note, due to Medicare rules, we are unable to supply durable medical equipment to Medicare patients.
REFERENCE GUIDE FOR REPLACEMENT OF EQUIPMENT PER MOST COMMERCIAL INSURANCE
A4604 CPAP Tubing With Heating Element: 1 per 3 months
A7027 Combination Oral/Nasal CPAP Mask: 1 per 3 months
A7028 Replacement Oral Cushion for Oral/Nasal Mask: 2 per 1 month
A7029 Replacement Nasal Pillows for Oral/Nasal Mask, One Pair: 2 per 1 month
A7030 Full Face Mask: 1 per 3 months
A7031 Full Face Mask Interface: 1 per 1 month
A7032: Cushion for Nasal Mask Interface: 2 per 1 month
A7033 Nasal Pillows: 2 per 1 month
A7034 Nasal Interface: 1 per 3 months
A7035 Headgear: 1 per 6 months
A7036 Chinstrap: 1 per 6 months
A7037 Tubing: 1 per 3 months
A7038 Disposable Filter: 2 per 1 month
A7039 Nondisposable Filter: 1 per 6 months
A7046 Humidifier Water Chamber: 1 per 6 months
*Please check with your own insurance carrier to verify benefits.*