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See a sample rate comparisonHCPCS A4371 Fee Schedule
HCPCS A4371 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy skin barrier, powder, per oz
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $4.395 median of the 8 states in the free preview · View Medicaid rates for A4371 |
National average reimbursement for HCPCS A4371 by major payers:
$4.32
BCBS / Anthem
$2.71
UnitedHealthcare
$3.59
Aetna
$5.94
Cigna
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HCPCS A4371
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$9.31Published rateAtl Colorectal Surgery
$3.83Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$2.55Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
Hospital Authority Of Washington County
$2.44Published rateMichael Guillette
Aztec Urgent Care LLC
$2.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4371 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4371. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4369-HCPCS | Low | Ostomy skin barrier, liquid (spray, brush, etc), per oz |
| A4371-HCPCS | Low | Ostomy skin barrier, powder, per oz |
| A4372-HCPCS | Low | Ostomy skin barrier, solid 4x4 or equivalent, standard wear, with built-in convexity, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4371. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4371 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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