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See a sample rate comparisonHCPCS A4396 Fee Schedule
HCPCS A4396 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy belt with peristomal hernia support
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $49.10 median of the 8 states in the free preview · View Medicaid rates for A4396 |
National average reimbursement for HCPCS A4396 by major payers:
$47.05
BCBS / Anthem
$29.89
UnitedHealthcare
$39.10
Aetna
$66.41
Cigna
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HCPCS A4396
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$103.47Published ratePiedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$42.56Published rateFloyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
$28.21Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$26.30Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$18.80Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4396 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4396. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4395-HCPCS | Low | Ostomy deodorant for use in ostomy pouch, solid, per tablet |
| A4396-HCPCS | Low | Ostomy belt with peristomal hernia support |
| A4398-HCPCS | Low | Ostomy irrigation supply; bag, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4396. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4396 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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