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See a sample rate comparisonHCPCS A4366 Fee Schedule
HCPCS A4366 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy vent, any type, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $1.59 median of the 7 states in the free preview · View Medicaid rates for A4366 |
National average reimbursement for HCPCS A4366 by major payers:
$1.62
BCBS / Anthem
$0.97
UnitedHealthcare
$1.25
Aetna
$1.44
Cigna
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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 table lists codes related to A4366. Select one to see its fee schedule.
| 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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