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See a sample rate comparisonHCPCS A4395 Fee Schedule
HCPCS A4395 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy deodorant for use in ostomy pouch, solid, per tablet
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $0.045 median of the 8 states in the free preview · View Medicaid rates for A4395 |
National average reimbursement for HCPCS A4395 by major payers:
$0.05
BCBS / Anthem
$0.04
UnitedHealthcare
$0.04
Aetna
$0.38
Cigna
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Choose a payer to see a sample of rates for HCPCS A4395.
HCPCS A4395
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$0.11Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$0.05Published rateStephens County Hospital Authority
$0.02Published rateDonalsonville Hospital Inc
$0.02Published rateWillamette Community Health Solutions, Cascade Health Solutions
$0.01Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4395 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4395. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4394-HCPCS | Low | Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce |
| A4395-HCPCS | Low | Ostomy deodorant for use in ostomy pouch, solid, per tablet |
| A4396-HCPCS | Low | Ostomy belt with peristomal hernia support |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4395. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4395 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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