HCPCS A4305 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Medical And Surgical Supplies • Access Catheters and Drug Delivery Systems |
| Complexity Level | Low |
National average reimbursement for HCPCS A4305 by major payers:
$16.85
$6.86
$8.23
$12.52
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS A4305 | ||||||
United | A4305 | $6.44 | 1194805127 - ALLERGY & ENT ASSOCIATES, PLLC | 742007863 - ALLERGY & ENT ASSOCIATES, PLLC | TX | Multi-Specialty Group (193200000X) |
United | A4305 | $5.62 | 1538270285 - BALCONES EYE CENTER, PA | 742732278 - BALCONES EYE CENTER PA | TX | Ophthalmology Physician (207W00000X) |
United | A4305 | $4.79 | 1417121245 - JOHN LINCOLN | 384109786 - UT PHYSICIANS | TX | Neurology Physician (2084N0400X) |
United | A4305 | $5.31 | 1285635813 - HANS SANDER | 550853118 - CENTRAL TEXAS COMMUNITY HEALTH CENTERS | TX | Dermatology Physician (207N00000X) |
United | A4305 | $5.62 | 1477025237 - 2020 VISION, PLLC | 831647819 - 2020 VISION PLLC | TX | Optometrist (152W00000X) |
United | A4305 | $5.62 | 1407845399 - RAMBABU CHALASANI | 833693670 - GASTROENTEROLOGY PARTNERS OF NORTH HOUSTON PLLC | TX | Gastroenterology Physician (207RG0100X) |
United | A4305 | $4.92 | 1891094561 - OFORBUIKE EWELUKWA | 262448601 - SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC | TX | Gastroenterology Physician (207RG0100X) |
United | A4305 | $5.59 | 1386833374 - DALLAS PEDIATRICS & INFECTIOUS DISEASE ASSOCIATES | 201986849 - DALLAS PEDIATRICS & INFECTIOUS | TX | Multi-Specialty Group (193200000X) |
United | A4305 | $5.62 | 1770550535 - WILLIAM HOWLAND | 475151342 - HOWLAND ALLERGY ASTHMA PLLC | TX | Allergy & Immunology Physician (207K00000X) |
United | A4305 | $4.69 | 1013303080 - ACCESS TELECARE, PLLC | 462718719 - ACCESS TELECARE PLLC | TX | Internal Medicine Physician (207R00000X) |
United | A4305 | $5.59 | 1356732903 - PAIN PARTNERS OF TEXAS PLLC | 472373866 - PAIN PARTNERS OF TEXAS PLLC | TX | Interventional Pain Medicine Physician (208VP0014X) |
United | A4305 | $5.62 | 1942702089 - NAIARA M ALVAREZ MD PA | 824472878 - NAIARA M ALVAREZ MD PA | TX | Single Specialty Group (193400000X) |
United | A4305 | $7.64 | 1710025556 - MUHAMMAD KHAN | 453744107 - SOUTHEAST NOCTURNISTS LLC | TX | Infectious Disease Physician (207RI0200X) |
United | A4305 | $6.44 | 1710045554 - CARSON T. LO MD PA | 810564711 - CARSON LO, M.D., P.A. | TX | Infectious Disease Physician (207RI0200X) |
United | A4305 | $5.63 | 1134588148 - LEGACY DERMATOLOGY, PLLC | 472727741 - LEGACY DERMATOLOGY PLLC | TX | Single Specialty Group (193400000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
HCPCS A4305 vs. Other Access Catheters and Drug Delivery Systems Codes
The HCPCS A4305 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 A4305 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 |
|---|---|---|
| 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 |
| A4306-HCPCS | Low | Disposable drug delivery system, flow rate of less than 50 ml 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 A4305. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4305 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A4305) and we'll show you how you compare in 15 minutes or less.