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See a sample rate comparisonHCPCS A4381 Fee Schedule
HCPCS A4381 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy pouch, urinary, for use on faceplate, plastic, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $5.605 median of the 8 states in the free preview · View Medicaid rates for A4381 |
National average reimbursement for HCPCS A4381 by major payers:
$5.46
BCBS / Anthem
$3.42
UnitedHealthcare
$4.54
Aetna
$7.54
Cigna
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Choose a payer to see a sample of rates for HCPCS A4381.
HCPCS A4381
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$12.02Published rateUjuka Iloabuchi
$4.84Published rateLeigh Taylor
$3.23Published rateDonalsonville Hospital Inc
$3.00Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$2.05Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4381 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4381. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4380-HCPCS | Low | Ostomy pouch, urinary, with faceplate attached, rubber, each |
| A4381-HCPCS | Low | Ostomy pouch, urinary, for use on faceplate, plastic, each |
| A4382-HCPCS | Low | Ostomy pouch, urinary, for use on faceplate, heavy 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 A4381. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4381 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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