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See a sample rate comparisonHCPCS A4387 Fee Schedule
HCPCS A4387 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy pouch, closed, with barrier attached, with built-in convexity (1-piece), each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $3.16 median of the 8 states in the free preview · View Medicaid rates for A4387 |
National average reimbursement for HCPCS A4387 by major payers:
$2.71
BCBS / Anthem
$2.14
UnitedHealthcare
$2.27
Aetna
$3.67
Cigna
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HCPCS A4387
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$5.74Published rateEmory Crawford Long Hospital
Emory University
$4.51Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$2.98Published rateDevon Daney
Aztec Urgent Care LLC
$2.38Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$1.03Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4387 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4387. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4385-HCPCS | Low | Ostomy skin barrier, solid 4x4 or equivalent, extended wear, without built-in convexity, each |
| A4387-HCPCS | Low | Ostomy pouch, closed, with barrier attached, with built-in convexity (1-piece), each |
| A4388-HCPCS | Low | Ostomy pouch, drainable, with extended wear barrier attached, (1-piece), each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4387. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4387 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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