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See a sample rate comparisonHCPCS A4429 Fee Schedule
HCPCS A4429 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1-piece), each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $10.16 median of the 7 states in the free preview · View Medicaid rates for A4429 |
National average reimbursement for HCPCS A4429 by major payers:
$9.77
BCBS / Anthem
$6.09
UnitedHealthcare
$7.93
Aetna
$9.82
Cigna
Compare published rates across providers.
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HCPCS A4429
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$21.45Published rateEmory Crawford Long Hospital
Emory University
$16.54Published rateHospital Authority Of Valdosta And Lowndes County Georgia, South Georgia Medical Center
Hospital Authority Of Valdosta And Lowndes County Georgia
$5.75Published rateNavicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
$5.36Published rateChristopher Raio
St Francis Hospital
$3.45Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4429 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4429. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4428-HCPCS | Low | Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1-piece), each |
| A4429-HCPCS | Low | Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1-piece), each |
| A4430-HCPCS | Low | Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (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 A4429. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4429 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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