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See a sample rate comparisonHCPCS A4316 Fee Schedule
HCPCS A4316 is classified under Medical And Surgical Supplies, in the Incontinence Devices and Supplies subgroup.
Insertion tray with drainage bag with indwelling catheter, Foley type, 3-way, for continuous irrigation
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $33.015 median of the 8 states in the free preview · View Medicaid rates for A4316 |
National average reimbursement for HCPCS A4316 by major payers:
$32.43
BCBS / Anthem
$20.60
UnitedHealthcare
$26.15
Aetna
$46.37
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4316.
HCPCS A4316
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$72.58Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Emory University
$66.98Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$25.35Published rateProfessional Resources Management Of Rabun, LLC, Mountain Lakes Medical Center
$18.45Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$12.68Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4316 vs. Other Incontinence Devices and Supplies Codes
The table lists codes related to A4316. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4315-HCPCS | Low | Insertion tray with drainage bag with indwelling catheter, Foley type, 2-way, all silicone |
| A4316-HCPCS | Low | Insertion tray with drainage bag with indwelling catheter, Foley type, 3-way, for continuous irrigation |
| A4320-HCPCS | Low | Irrigation tray with bulb or piston syringe, any purpose |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4316. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4316 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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