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See a sample rate comparisonHCPCS A4328 Fee Schedule
HCPCS A4328 is classified under Medical And Surgical Supplies, in the Incontinence Devices and Supplies subgroup.
Female external urinary collection device; pouch, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $10.95 median of the 8 states in the free preview · View Medicaid rates for A4328 |
National average reimbursement for HCPCS A4328 by major payers:
$11.96
BCBS / Anthem
$7.64
UnitedHealthcare
$9.43
Aetna
$16.55
Cigna
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HCPCS A4328
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$22.68Published rateJacob Holloway
$7.13Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$6.82Published rateStephens County Hospital Authority
$6.65Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$4.65Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4328 vs. Other Incontinence Devices and Supplies Codes
The table lists codes related to A4328. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4327-HCPCS | Low | Female external urinary collection device; meatal cup, each |
| A4328-HCPCS | Low | Female external urinary collection device; pouch, each |
| A4330-HCPCS | Low | Perianal fecal collection pouch with adhesive, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4328. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4328 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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