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See a sample rate comparisonHCPCS A4384 Fee Schedule
HCPCS A4384 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy faceplate equivalent, silicone ring, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $11.65 median of the 8 states in the free preview · View Medicaid rates for A4384 |
National average reimbursement for HCPCS A4384 by major payers:
$11.25
BCBS / Anthem
$7.11
UnitedHealthcare
$9.14
Aetna
$15.84
Cigna
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HCPCS A4384
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$24.57Published rateThe Baxley And Appling County Hospital Authority, Appling Healthcare System
Appling Hospital
$9.61Published rateHospital Authority Of Washington County, Washington County Regional Medical Center
Hospital Authority Of Washington County
$6.42Published rateEmory Healthcare
Cardiac Arrhythmia Institute
$5.69Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$4.30Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4384 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4384. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4383-HCPCS | Low | Ostomy pouch, urinary, for use on faceplate, rubber, each |
| A4384-HCPCS | Low | Ostomy faceplate equivalent, silicone ring, each |
| A4385-HCPCS | Low | Ostomy skin barrier, solid 4x4 or equivalent, extended wear, without 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 A4384. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4384 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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