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See a sample rate comparisonHCPCS A4213 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Syringe, sterile, 20 cc or greater, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Injection and Infusion Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4213 |
National average reimbursement for HCPCS A4213 by major payers:
$10.84
$0.53
$0.62
$0.89
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HCPCS A4213
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$1.08Published rateDublin Vamc
$0.61Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$0.43Published rateEvans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
$0.43Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$0.25Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4213 vs. Other Injection and Infusion Supplies Codes
The HCPCS A4213 code is part of the Medical And Surgical Supplies services used for Injection and Infusion Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A4213 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A4212-HCPCS | Low | Non-coring needle or stylet with or without catheter |
| A4213-HCPCS | Low | Syringe, sterile, 20 cc or greater, each |
| A4215-HCPCS | Low | Needle, sterile, any size, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4213. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4213 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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