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See a sample rate comparisonHCPCS A4417 Fee Schedule
HCPCS A4417 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1-piece), each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $4.59 median of the 7 states in the free preview · View Medicaid rates for A4417 |
National average reimbursement for HCPCS A4417 by major payers:
$4.43
BCBS / Anthem
$2.76
UnitedHealthcare
$3.57
Aetna
$4.41
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4417.
HCPCS A4417
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$9.68Published ratePhoebe Worth Medical Center, Inc, Phoebe Worth Medical Center, Inc
Phoebe Worth Medical Center Inc
$4.38Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$2.59Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$2.42Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$1.65Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4417 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4417. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4416-HCPCS | Low | Ostomy pouch, closed, with barrier attached, with filter (1-piece), each |
| A4417-HCPCS | Low | Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1-piece), each |
| A4418-HCPCS | Low | Ostomy pouch, closed; without barrier attached, with filter (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 A4417. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4417 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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