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See a sample rate comparisonHCPCS A4373 Fee Schedule
HCPCS A4373 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy skin barrier, with flange (solid, flexible or accordian), with built-in convexity, any size, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $7.32 median of the 8 states in the free preview · View Medicaid rates for A4373 |
National average reimbursement for HCPCS A4373 by major payers:
$7.37
BCBS / Anthem
$4.64
UnitedHealthcare
$5.99
Aetna
$10.29
Cigna
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HCPCS A4373
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$16.29Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$7.13Published rateCarson Medical Group Professional Corporation
Carson Medical Group
$5.34Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$4.07Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$2.79Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4373 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4373. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4372-HCPCS | Low | Ostomy skin barrier, solid 4x4 or equivalent, standard wear, with built-in convexity, each |
| A4373-HCPCS | Low | Ostomy skin barrier, with flange (solid, flexible or accordian), with built-in convexity, any size, each |
| A4375-HCPCS | Low | Ostomy pouch, drainable, with faceplate attached, plastic, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4373. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4373 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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