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See a sample rate comparisonHCPCS A4366 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ostomy vent, any type, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4366 |
National average reimbursement for HCPCS A4366 by major payers:
$1.62
$0.97
$1.25
$1.44
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HCPCS A4366
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$3.34Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Putney Memorial Hospital Inc
$1.52Published rateUjuka Iloabuchi
$0.89Published rateHospital Authority Of Jenkins County
$0.85Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$0.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4366 vs. Other Ostomy Pouches and Supplies Codes
The HCPCS A4366 code is part of the Medical And Surgical Supplies services used for Ostomy Pouches and Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A4366 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A4364-HCPCS | Low | Adhesive, liquid or equal, any type, per oz |
| A4366-HCPCS | Low | Ostomy vent, any type, each |
| A4367-HCPCS | Low | Ostomy belt, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4366. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4366 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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