Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A4368 Fee Schedule
HCPCS A4368 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy filter, any type, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $0.305 median of the 8 states in the free preview · View Medicaid rates for A4368 |
National average reimbursement for HCPCS A4368 by major payers:
$0.30
BCBS / Anthem
$0.19
UnitedHealthcare
$0.28
Aetna
$0.42
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4368.
HCPCS A4368
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$0.64Published rateEmory Crawford Long Hospital
Emory University
$0.50Published rateDublin Vamc
$0.20Published rateEvans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
$0.17Published rateMichael Guillette
Aztec Urgent Care LLC
$0.14Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A4368 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4368. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4367-HCPCS | Low | Ostomy belt, each |
| A4368-HCPCS | Low | Ostomy filter, any type, each |
| A4369-HCPCS | Low | Ostomy skin barrier, liquid (spray, brush, etc), per oz |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4368. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4368 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
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A4368) and we'll show you how you compare in 15 minutes or less.