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HCPCS A4236 Fee Schedule

HCPCS A4236 is classified under Medical And Surgical Supplies, in the Replacement Batteries subgroup.

Replacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each
Key FactDetail
Service Type

Medical And Surgical Supplies

Replacement Batteries

Complexity LevelLow
Medicaid Fee Schedule$1.16 median of the 7 states in the free preview · View Medicaid rates for A4236

National average reimbursement for HCPCS A4236 by major payers:

BCBS / Anthem logo

$1.05

BCBS / Anthem

UnitedHealthcare logo

$0.96

UnitedHealthcare

Aetna logo

$0.95

Aetna

Cigna logo

$1.64

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS A4236.

HCPCS A4236
5 of 25 sample ratesHigher to lower in this preview
  1. Emory Healthcare

    Emory University

    GAGeneral Acute Care HospitalNPI 1598964082Tax ID 58-2030692

    $1.96Published rate
  2. Northeast Medical Equipment Inc, North Country Medical

    NYDurable Medical Equipment & Medical SuppliesNPI 1548229719Tax ID 59-3345262

    $1.10Published rate
  3. Homecare Concepts Inc

    Homecare Concepts, Inc.

    NYOxygen Equipment & Supplies (DME)NPI 1780657908Tax ID 11-2872937

    $0.76Published rate
  4. Elite Medical Supply

    NYDurable Medical Equipment & Medical SuppliesNPI 1821076308Tax ID 74-3050935

    $0.75Published rate
  5. Christopher Raio

    St Francis Hospital

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-2050523

    $0.46Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS A4236 vs. Other Replacement Batteries Codes

The table lists codes related to A4236. Select one to see its fee schedule.

CodeComplexityDescription
A4235-HCPCSLowReplacement battery, lithium, for use with medically necessary home blood glucose monitor owned by patient, each
A4236-HCPCSLowReplacement battery, silver oxide, for use with medically necessary home blood glucose monitor owned by patient, each
A4238-HCPCSModerateSupply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4236. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A4236 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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