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See a sample rate comparisonHCPCS A4306 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 less than 50 ml 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 A4306 |
National average reimbursement for HCPCS A4306 by major payers:
$21.54
$9.47
$10.20
$12.61
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HCPCS A4306
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$19.60Published rateClinch County Hospital Authority
$10.72Published rateDebra Dean
Orthopedic Specialists Of Sw Florida PA
$7.96Published rateAlicia Encinas
Miguel A Arenas Md PC
$7.78Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$4.61Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4306 vs. Other Access Catheters and Drug Delivery Systems Codes
The HCPCS A4306 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 A4306 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 |
|---|---|---|
| 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 |
| A4310-HCPCS | Low | Insertion tray without drainage bag and without catheter (accessories only) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4306. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4306 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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