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See a sample rate comparisonHCPCS A4357 Fee Schedule
HCPCS A4357 is classified under Medical And Surgical Supplies, in the Incontinence Devices and Supplies subgroup.
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $10.745 median of the 8 states in the free preview · View Medicaid rates for A4357 |
National average reimbursement for HCPCS A4357 by major payers:
$10.87
BCBS / Anthem
$7.04
UnitedHealthcare
$8.28
Aetna
$15.71
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4357.
HCPCS A4357
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$21.10Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Putney Memorial Hospital Inc
$9.69Published rateChristopher Raio
Mercy Medical Center
$7.33Published rateHouston Hospitals Inc, Houston Medical Center
Houston Hospitals Inc
$5.36Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$3.83Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4357 vs. Other Incontinence Devices and Supplies Codes
The table lists codes related to A4357. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4356-HCPCS | Low | External urethral clamp or compression device (not to be used for catheter clamp), each |
| A4357-HCPCS | Low | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
| A4358-HCPCS | Low | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4357. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4357 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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