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See a sample rate comparisonHCPCS A4305 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.
Disposable drug delivery system, flow rate of 50 ml or greater per hour
| 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 A4305 |
National average reimbursement for HCPCS A4305 by major payers:
$16.85
$6.86
$8.23
$12.52
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HCPCS A4305
5 of 25 sample ratesHigher to lower in this preview
Mary Beth Luttrell
Shannon Clinic
$14.66Published rateCarson T. Lo Md PA
Carson Lo, M.D., P.A.
$6.44Published rateRambabu Chalasani
Gastroenterology Partners Of North Houston PLLC
$5.62Published rateHans Sander
Central Texas Community Health Centers
$5.31Published rateTexas Internal Medicine Associates PLLC
$4.69Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS 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.
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