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See a sample rate comparisonHCPCS A4390 Fee Schedule
HCPCS A4390 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy pouch, drainable, with extended wear 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 | $11.645 median of the 8 states in the free preview · View Medicaid rates for A4390 |
National average reimbursement for HCPCS A4390 by major payers:
$11.24
BCBS / Anthem
$7.10
UnitedHealthcare
$9.13
Aetna
$15.83
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4390.
HCPCS A4390
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$24.94Published rateVictoria Lewis-Holland
$10.09Published rateMeriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$6.69Published rateRedmond Park Hospital LLC, Redmond Hospital Based Services LLC
Redmond Park Hospital LLC
$6.25Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$4.46Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4390 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4390. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4389-HCPCS | Low | Ostomy pouch, drainable, with barrier attached, with built-in convexity (1-piece), each |
| A4390-HCPCS | Low | Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1-piece), each |
| A4391-HCPCS | Low | Ostomy pouch, urinary, 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 A4390. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4390 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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