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See a sample rate comparisonHCPCS A4380 Fee Schedule
HCPCS A4380 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy pouch, urinary, with faceplate attached, rubber, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $43.58 median of the 8 states in the free preview · View Medicaid rates for A4380 |
National average reimbursement for HCPCS A4380 by major payers:
$43.94
BCBS / Anthem
$27.57
UnitedHealthcare
$35.00
Aetna
$62.32
Cigna
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HCPCS A4380
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$95.41Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$35.27Published rateLeigh Taylor
$26.02Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$24.26Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$17.35Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4380 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4380. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4379-HCPCS | Low | Ostomy pouch, urinary, with faceplate attached, plastic, each |
| A4380-HCPCS | Low | Ostomy pouch, urinary, with faceplate attached, rubber, each |
| A4381-HCPCS | Low | Ostomy pouch, urinary, for use on faceplate, 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 A4380. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4380 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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