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See a sample rate comparisonHCPCS A4300 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.
Implantable access catheter, (e, g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Access Catheters and Drug Delivery Systems |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4300 |
National average reimbursement for HCPCS A4300 by major payers:
$15.66
$6.67
$23.52
$9.30
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HCPCS A4300
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$24.60Published rateChu Chen
$23.48Published rateChu Chen
$10.35Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$6.96Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$3.75Published rate
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See a sample payer proposalHCPCS A4300 vs. Other Access Catheters and Drug Delivery Systems Codes
The HCPCS A4300 code is part of the Medical And Surgical Supplies services used for Access Catheters and Drug Delivery Systems. 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 A4300 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 |
|---|---|---|
| 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 |
| A4301-HCPCS | Moderate | Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4300 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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