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See a sample rate comparisonHCPCS A4269 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.
Contraceptive supply, spermicide (e.g., foam, gel), each
| 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 A4269 |
National average reimbursement for HCPCS A4269 by major payers:
$2.91
$0.53
$0.79
$0.71
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HCPCS A4269
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1.89Published rateAtl Colorectal Surgery
$1.01Published rateUnion County Hospital Authority, Union General Hospital
Union County Hospital Authority
$0.63Published rateUjuka Iloabuchi
$0.43Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$0.37Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4269 vs. Other Other Supplies Including Diabetes Supplies and Contraceptives Codes
The HCPCS A4269 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 A4269 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 |
|---|---|---|
| A4268-HCPCS | Low | Contraceptive supply, condom, female, each |
| A4269-HCPCS | Low | Contraceptive supply, spermicide (e.g., foam, gel), each |
| A4270-HCPCS | Low | Disposable endoscope sheath, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4269. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4269 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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