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See a sample rate comparisonHCPCS A4382 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ostomy pouch, urinary, for use on faceplate, heavy plastic, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4382 |
National average reimbursement for HCPCS A4382 by major payers:
$29.13
$18.18
$23.22
$40.74
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HCPCS A4382
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$62.91Published rateNicole Schwab
Allergy & Asthma Of Dupage, S.C.
$33.53Published rateFloyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
$17.15Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$16.00Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$9.72Published rate
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See a sample payer proposalHCPCS A4382 vs. Other Ostomy Pouches and Supplies Codes
The HCPCS A4382 code is part of the Medical And Surgical Supplies services used for Ostomy Pouches and Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A4382 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A4383-HCPCS | Low | Ostomy pouch, urinary, for use on faceplate, rubber, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4382. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4382 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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