Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A4437 Fee Schedule
HCPCS A4437 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Irrigation supply; sleeve, disposable, 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 A4437 |
National average reimbursement for HCPCS A4437 by major payers:
$20.01
BCBS / Anthem
$14.93
UnitedHealthcare
$4.70
Aetna
$31.17
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4437.
HCPCS A4437
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$43.87Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Emory University
$35.34Published rateSmith Of Georgia, Smith Northview Hospitalists
Smith Of Georgia
$19.39Published ratePiedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$12.93Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$9.97Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A4437 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A4437. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4436-HCPCS | Low | Irrigation supply; sleeve, reusable, per month |
| A4437-HCPCS | Low | Irrigation supply; sleeve, disposable, per month |
| A4450-HCPCS | Low | Tape, non-waterproof, per 18 square inches |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4437. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4437 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
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A4437) and we'll show you how you compare in 15 minutes or less.