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See a sample rate comparisonHCPCS A4436 Fee Schedule
HCPCS A4436 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Irrigation supply; sleeve, reusable, per month
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $20.785 median of the 8 states in the free preview · View Medicaid rates for A4436 |
National average reimbursement for HCPCS A4436 by major payers:
$20.01
BCBS / Anthem
$14.93
UnitedHealthcare
$5.27
Aetna
$32.02
Cigna
Compare published rates across providers.
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HCPCS A4436
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$43.87Published rateEmory Crawford Long Hospital
Emory University
$41.58Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$14.01Published rateHospital Authority Of Candler County, Candler County Hospital
$12.93Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$9.97Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4436 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4436. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4435-HCPCS | Low | Ostomy pouch, drainable, high output, with extended wear barrier (1-piece system), with or without filter, each |
| A4436-HCPCS | Low | Irrigation supply; sleeve, reusable, per month |
| A4437-HCPCS | Low | Irrigation supply; sleeve, disposable, per month |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4436. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4436 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.
FREE SAMPLE MARKET COMPARISON
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Bring your top codes (like HCPCS A4436) and we'll show you how you compare in 15 minutes or less.