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See a sample rate comparisonHCPCS A4250 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.
Urine test or reagent strips or tablets (100 tablets or strips)
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Other Supplies Including Diabetes Supplies and Contraceptives |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4250 |
National average reimbursement for HCPCS A4250 by major payers:
$41.44
$9.37
$9.25
$15.25
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HCPCS A4250
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$33.09Published rateEmory Crawford Long Hospital
Emory University
$19.05Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$10.47Published rateDodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
$7.57Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$4.48Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4250 vs. Other Other Supplies Including Diabetes Supplies and Contraceptives Codes
The HCPCS A4250 code is part of the Medical And Surgical Supplies services used for Other Supplies Including Diabetes Supplies and Contraceptives. 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 A4250 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 |
|---|---|---|
| A4248-HCPCS | Low | Chlorhexidine containing antiseptic, 1 ml |
| A4250-HCPCS | Low | Urine test or reagent strips or tablets (100 tablets or strips) |
| A4252-HCPCS | Low | Blood ketone test or reagent strip, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4250. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4250 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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