Rate Benchmarking
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See a sample rate comparisonHCPCS A4262 Fee Schedule
HCPCS A4262 is classified under Medical And Surgical Supplies, in the Other Supplies Including Diabetes Supplies and Contraceptives subgroup.
Temporary, absorbable lacrimal duct implant, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Other Supplies Including Diabetes Supplies and Contraceptives |
| Complexity Level | Low |
| Medicaid Fee Schedule | $7.89 median of the 4 states in the free preview · View Medicaid rates for A4262 |
National average reimbursement for HCPCS A4262 by major payers:
$7.71
BCBS / Anthem
$0.29
UnitedHealthcare
$1.22
Aetna
$0.36
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4262.
HCPCS A4262
5 of 25 sample ratesHigher to lower in this preview
Jason Hechtman
Tampa General Provider Network Inc
$0.40Published rateAmadeo Cabral
Quality Surgical Care P.A.
$0.21Published rateDevina Mccray
Florida Hospital Medical Group Inc
$0.21Published rateAaron Bornstein
$0.20Published rateStelios Rekkas
Manatee Specialty Physician Alliance LLC
$0.14Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4262 vs. Other Other Supplies Including Diabetes Supplies and Contraceptives Codes
The table lists codes related to A4262. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4261-HCPCS | Low | Cervical cap for contraceptive use |
| A4262-HCPCS | Low | Temporary, absorbable lacrimal duct implant, each |
| A4263-HCPCS | Low | Permanent, long term, non-dissolvable lacrimal duct implant, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4262. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4262 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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