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See a sample rate comparisonHCPCS A4263 Fee Schedule
HCPCS A4263 is classified under Medical And Surgical Supplies, in the Other Supplies Including Diabetes Supplies and Contraceptives subgroup.
Permanent, long term, non-dissolvable 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 | $31.595 median of the 8 states in the free preview · View Medicaid rates for A4263 |
National average reimbursement for HCPCS A4263 by major payers:
$19.60
BCBS / Anthem
$21.03
UnitedHealthcare
$20.91
Aetna
$28.06
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4263.
HCPCS A4263
5 of 25 sample ratesHigher to lower in this preview
Kelly Ridges
Allergy & Asthma Of Dupage, S.C.
$42.90Published rateSmith Of Georgia, Smith Northview Hospitalists
Smith Of Georgia
$26.65Published rateHospital Authority Of Jenkins County
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$23.87Published rateUjuka Iloabuchi
$17.29Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$10.27Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4263 vs. Other Other Supplies Including Diabetes Supplies and Contraceptives Codes
The table lists codes related to A4263. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4262-HCPCS | Low | Temporary, absorbable lacrimal duct implant, each |
| A4263-HCPCS | Low | Permanent, long term, non-dissolvable lacrimal duct implant, each |
| A4264-HCPCS | Moderate | Permanent implantable contraceptive intratubal occlusion device(s) and delivery system |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4263. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4263 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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