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See a sample rate comparisonHCPCS A4295 Fee Schedule
HCPCS A4295 is classified under Medical And Surgical Supplies, in the Other Supplies Including Diabetes Supplies and Contraceptives subgroup.
Intermittent urinary catheter; straight tip, hydrophilic coating, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Other Supplies Including Diabetes Supplies and Contraceptives |
| Complexity Level | Low |
| Medicaid Fee Schedule | $2.08 median of the 8 states in the free preview · View Medicaid rates for A4295 |
National average reimbursement for HCPCS A4295 by major payers:
$2.16
BCBS / Anthem
$5.10
UnitedHealthcare
$2.20
Aetna
$N/A
Cigna
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HCPCS A4295
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4295 vs. Other Other Supplies Including Diabetes Supplies and Contraceptives Codes
| Code | Complexity | Description |
|---|---|---|
| A4295-HCPCS | Low | Intermittent urinary catheter; straight tip, hydrophilic coating, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4295. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4295 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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