HCPCS A4234 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Medical And Surgical Supplies • Replacement Batteries |
| Complexity Level | Low |
National average reimbursement for HCPCS A4234 by major payers:
$2.15
$2.03
$1.95
$2.42
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS A4234 | ||||||
United | A4234 | $5.19 | 1073502985 - CHU CHEN | 42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC. | MA | Pediatrics Physician (208000000X) |
United | A4234 | $2.28 | 1861593188 - HAMPTON HOME CARE INC | 112696011 - (NY) HAMPTON HOME CARE | NY | Oxygen Equipment & Supplies (DME) (332BX2000X) |
United | A4234 | $1.85 | 1255358941 - KOO AND CO INC, STARSIDE DRUGS | 450468428 | NY | Community/Retail Pharmacy (3336C0003X) |
United | A4234 | $1.88 | 1053466425 - ST. PETER'S HOSPITAL OF THE CITY OF ALBANY, SPH SLEEP THERAPY EQUIPMENT | 141348692 - (NY) ST PETERS HOSPITAL | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4234 | $1.62 | 1083843312 - EAST COAST ORTHOTIC & PROSTHETIC CORP | 113380702 - EAST COAST ORTHOTIC & PROSTHETIC CORP | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | A4234 | $1.99 | 1538101241 - NEW ENGLAND ORTHOTIC & PROSTHETIC SYSTEMS, LLC | 61510989 - NEW ENGLAND ORTHOTIC & PROSTHETI | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | A4234 | $1.76 | 1043302722 - RICHARD PERELMUT, PEARL ORTHOPEDIC FOOTWEAR | 201417954 | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4234 | $1.76 | 1942293253 - DYNAMIC ORTHOPEDIC LABORATORY, JOHN F HOFFERT | 201417954 | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | A4234 | $2.35 | 1194779702 - JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC. | 580566121 - JOHN D ARCHBOLD MEMORIAL HOSPITAL INC | GA | General Acute Care Hospital (282N00000X) |
United | A4234 | $1.62 | 1831759497 - NEW YORK RECOVERY DME CORP, MOONWALK ORTHOTICS | 834153700 - (NY) NEW YORK RECOVERY DME CORP | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4234 | $3.54 | 1982699252 - PROFESSIONAL HOME CARE INC | 161261977 - (NY) PROFESSIONAL HOME CARE INC | NY | Oxygen Equipment & Supplies (DME) (332BX2000X) |
United | A4234 | $2.59 | 1710253414 - METROCARE MEDICAL SUPPLY | 371667798 - (NY) METROCARE MEDICAL SUPPLY | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4234 | $2.24 | 1811133820 - HOVEROUND CORPORATION | 593123992 - HOVEROUND CORPORATION | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | A4234 | $2.07 | 1073580759 - ADVANCED ORTHOTICS & PROSTHETICS , LLC | 141831922 | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | A4234 | $1.76 | 1053763268 - ESCHEN PROSTHETIC & ORTHOTIC LABORATORIES, INC, EASTSIDE ORTHOTICS & PROSTHETICS | 132707948 - ESCHEN PROSTHETIC & ORTHOTIC LAB | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
HCPCS A4234 vs. Other Replacement Batteries Codes
The HCPCS A4234 code is part of the Medical And Surgical Supplies services used for Replacement Batteries. 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 A4234 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 |
|---|---|---|
| A4233-HCPCS | Low | Replacement battery, alkaline (other than J cell), for use with medically necessary home blood glucose monitor owned by patient, each |
| A4234-HCPCS | Low | Replacement battery, alkaline, J cell, for use with medically necessary home blood glucose monitor owned by patient, each |
| A4235-HCPCS | Low | Replacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4234. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4234 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A4234) and we'll show you how you compare in 15 minutes or less.