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See a sample rate comparisonHCPCS A4301 Fee Schedule
HCPCS A4301 is classified under Medical And Surgical Supplies, in the Access Catheters and Drug Delivery Systems subgroup.
Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Access Catheters and Drug Delivery Systems |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $5.615 median of the 2 states in the free preview · View Medicaid rates for A4301 |
National average reimbursement for HCPCS A4301 by major payers:
$380.20
BCBS / Anthem
$42.04
UnitedHealthcare
$61.22
Aetna
$4.60
Cigna
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HCPCS A4301
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4301 vs. Other Access Catheters and Drug Delivery Systems Codes
The table lists codes related to A4301. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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.) |
| A4305-HCPCS | Low | Disposable drug delivery system, flow rate of 50 ml or greater per hour |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4301. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4301 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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