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See a sample rate comparisonHCPCS A4411 Fee Schedule
HCPCS A4411 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy skin barrier, solid 4x4 or equivalent, extended wear, with built-in convexity, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $6.27 median of the 7 states in the free preview · View Medicaid rates for A4411 |
National average reimbursement for HCPCS A4411 by major payers:
$5.98
BCBS / Anthem
$3.77
UnitedHealthcare
$4.86
Aetna
$8.35
Cigna
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HCPCS A4411
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$13.02Published rateVictoria Lewis-Holland
$5.36Published rateFloyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
$3.54Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$3.31Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$2.27Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4411 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4411. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4410-HCPCS | Low | Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each |
| A4411-HCPCS | Low | Ostomy skin barrier, solid 4x4 or equivalent, extended wear, with built-in convexity, each |
| A4412-HCPCS | Low | Ostomy pouch, drainable, high output, for use on a barrier with flange (2-piece system), without filter, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4411. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4411 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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