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See a sample rate comparisonHCPCS A4355 Fee Schedule
HCPCS A4355 is classified under Medical And Surgical Supplies, in the Incontinence Devices and Supplies subgroup.
Irrigation tubing set for continuous bladder irrigation through a 3-way indwelling Foley catheter, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $9.535 median of the 8 states in the free preview · View Medicaid rates for A4355 |
National average reimbursement for HCPCS A4355 by major payers:
$10.39
BCBS / Anthem
$6.51
UnitedHealthcare
$8.22
Aetna
$14.53
Cigna
Compare published rates across providers.
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HCPCS A4355
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$19.37Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$7.96Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$5.65Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$5.34Published rateMichael Guillette
Aztec Urgent Care LLC
$4.88Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4355 vs. Other Incontinence Devices and Supplies Codes
The table lists codes related to A4355. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A4356-HCPCS | Low | External urethral clamp or compression device (not to be used for catheter clamp), each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4355. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4355 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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