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See a sample rate comparisonHCPCS A4404 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ostomy ring, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4404 |
National average reimbursement for HCPCS A4404 by major payers:
$1.82
$1.22
$1.56
$2.77
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HCPCS A4404
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$4.29Published rateUjuka Iloabuchi
$1.76Published rateAtlanta Vamc
$1.35Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$1.10Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$0.75Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4404 vs. Other Ostomy Pouches and Supplies Codes
The HCPCS A4404 code is part of the Medical And Surgical Supplies services used for Ostomy Pouches and Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A4404 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A4402-HCPCS | Low | Lubricant, per ounce |
| A4404-HCPCS | Low | Ostomy ring, each |
| A4405-HCPCS | Low | Ostomy skin barrier, non-pectin based, paste, per ounce |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4404. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4404 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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