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 A4461 Fee Schedule
HCPCS A4461 is classified under Medical And Surgical Supplies, in the Various Medical Supplies Including Tapes and Surgical Dressings subgroup.
Surgical dressing holder, non-reusable, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Various Medical Supplies Including Tapes and Surgical Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $4.00 median of the 8 states in the free preview · View Medicaid rates for A4461 |
National average reimbursement for HCPCS A4461 by major payers:
$3.84
BCBS / Anthem
$2.45
UnitedHealthcare
$3.20
Aetna
$3.65
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4461.
HCPCS A4461
5 of 25 sample ratesHigher to lower in this preview
Ujuka Iloabuchi
Gwinnett Obgyn Associates Of Georgia LLC
$5.19Published rateArthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$3.05Published rateUjuka Iloabuchi
$2.29Published rateStephens County Hospital Authority
$2.14Published rateMichael Guillette
Aztec Urgent Care LLC
$1.79Published 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 A4461 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes
The table lists codes related to A4461. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4459-HCPCS | High | Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type |
| A4461-HCPCS | Low | Surgical dressing holder, non-reusable, each |
| A4463-HCPCS | Low | Surgical dressing holder, reusable, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4461. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4461 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 A4461) and we'll show you how you compare in 15 minutes or less.