Rate Benchmarking
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See a sample rate comparisonHCPCS A4360 Fee Schedule
HCPCS A4360 is classified under Medical And Surgical Supplies, in the Incontinence Devices and Supplies subgroup.
Disposable external urethral clamp or compression device, with pad and/or pouch, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $0.56 median of the 7 states in the free preview · View Medicaid rates for A4360 |
National average reimbursement for HCPCS A4360 by major payers:
$0.55
BCBS / Anthem
$0.36
UnitedHealthcare
$0.45
Aetna
$0.53
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4360.
HCPCS A4360
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$1.05Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$0.46Published rateTanner Medical Center, Inc, Tanner Health System
Tanner Medical Center Inc
$0.34Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$0.33Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$0.21Published rate
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Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
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See a sample payer proposalHCPCS A4360 vs. Other Incontinence Devices and Supplies Codes
The table lists codes related to A4360. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4358-HCPCS | Low | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
| A4360-HCPCS | Low | Disposable external urethral clamp or compression device, with pad and/or pouch, each |
| A4361-HCPCS | Low | Ostomy faceplate, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4360. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4360 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
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Bring your top codes (like HCPCS A4360) and we'll show you how you compare in 15 minutes or less.