Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A4354 Fee Schedule
HCPCS A4354 is classified under Medical And Surgical Supplies, in the Incontinence Devices and Supplies subgroup.
Insertion tray with drainage bag but without catheter
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $13.105 median of the 8 states in the free preview · View Medicaid rates for A4354 |
National average reimbursement for HCPCS A4354 by major payers:
$12.64
BCBS / Anthem
$8.51
UnitedHealthcare
$10.84
Aetna
$19.30
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4354.
HCPCS A4354
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$30.16Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$13.43Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$7.90Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$6.69Published rateMichael Guillette
Aztec Urgent Care LLC
$6.46Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A4354 vs. Other Incontinence Devices and Supplies Codes
The table lists codes related to A4354. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4353-HCPCS | Low | Intermittent urinary catheter, with insertion supplies |
| A4354-HCPCS | Low | Insertion tray with drainage bag but without catheter |
| A4355-HCPCS | Low | Irrigation tubing set for continuous bladder irrigation through a 3-way indwelling Foley catheter, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4354. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4354 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A4354) and we'll show you how you compare in 15 minutes or less.