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See a sample rate comparisonHCPCS A4310 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.
Insertion tray without drainage bag and without catheter (accessories only)
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4310 |
National average reimbursement for HCPCS A4310 by major payers:
$8.27
$5.57
$6.74
$12.58
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HCPCS A4310
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$19.73Published rateThe Baxley And Appling County Hospital Authority, Appling Healthcare System
Appling Hospital
$6.94Published rateBacon County Health Services, Inc, Bacon County Rural Health Clinic
Bacon County Health Services Inc
$4.82Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$4.51Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$3.45Published rate
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See a sample payer proposalHCPCS A4310 vs. Other Incontinence Devices and Supplies Codes
The HCPCS A4310 code is part of the Medical And Surgical Supplies services used for Incontinence Devices and Supplies. 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 A4310 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 |
|---|---|---|
| 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) |
| A4311-HCPCS | Low | Insertion tray without drainage bag with indwelling catheter, Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4310. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4310 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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