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See a sample rate comparisonHCPCS A4290 Fee Schedule
HCPCS A4290 is classified under Medical And Surgical Supplies, in the Other Supplies Including Diabetes Supplies and Contraceptives subgroup.
Sacral nerve stimulation test lead, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Other Supplies Including Diabetes Supplies and Contraceptives |
| Complexity Level | Low |
| Medicaid Fee Schedule | $139.70 median of the 2 states in the free preview · View Medicaid rates for A4290 |
National average reimbursement for HCPCS A4290 by major payers:
$133.59
BCBS / Anthem
$80.72
UnitedHealthcare
$64.67
Aetna
$12.06
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4290.
HCPCS A4290
5 of 25 sample ratesHigher to lower in this preview
Emory University Hospital
Emory University
$236.03Published rateThe Hospital Authority Of Habersham County
$125.83Published ratePaulding Medical Center, Inc., Wellstar Paulding Hospital
Paulding Medical Center Inc
$90.87Published rateUpson County Hospital Inc, Upson Regional Medical Center
Upson County Hospital Inc
$83.88Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$52.43Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4290 vs. Other Other Supplies Including Diabetes Supplies and Contraceptives Codes
The table lists codes related to A4290. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4286-HCPCS | Low | Locking ring for breast pump, replacement |
| A4290-HCPCS | Low | Sacral nerve stimulation test lead, each |
| A4300-HCPCS | Low | Implantable access catheter, (e, g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4290. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4290 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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