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See a sample rate comparisonHCPCS A4326 Fee Schedule
HCPCS A4326 is classified under Medical And Surgical Supplies, in the Incontinence Devices and Supplies subgroup.
Male external catheter with integral collection chamber, any type, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $12.835 median of the 8 states in the free preview · View Medicaid rates for A4326 |
National average reimbursement for HCPCS A4326 by major payers:
$12.03
BCBS / Anthem
$7.78
UnitedHealthcare
$9.98
Aetna
$17.75
Cigna
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HCPCS A4326
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$26.51Published rateUjuka Iloabuchi
$17.02Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$8.53Published rateJeremy Kelley
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$6.38Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$4.82Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4326 vs. Other Incontinence Devices and Supplies Codes
The table lists codes related to A4326. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4322-HCPCS | Low | Irrigation syringe, bulb or piston, each |
| A4326-HCPCS | Low | Male external catheter with integral collection chamber, any type, each |
| A4327-HCPCS | Low | Female external urinary collection device; meatal cup, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4326. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4326 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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