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 A4604 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Tubing with integrated heating element for use with positive airway pressure device
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Various Medical Supplies Including Tapes and Surgical Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4604 |
National average reimbursement for HCPCS A4604 by major payers:
$42.31
$37.96
$40.32
$57.95
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4604.
HCPCS A4604
5 of 25 sample ratesHigher to lower in this preview
Leigh Murphy
Vanderbilt University Medical Center
$27.70Published rateGautam Bhave
Vanderbilt University Medical Center
$27.70Published rateEddie Blay
Vanderbilt University Medical Center
$15.53Published rateKeith Obstein
Vanderbilt University Medical Center
$2.14Published rateStephanie Spence
Vanderbilt University Medical Center
$2.14Published 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 A4604 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes
The HCPCS A4604 code is part of the Medical And Surgical Supplies services used for Various Medical Supplies Including Tapes and Surgical Dressings. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A4604 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A4602-HCPCS | Low | Replacement battery for external infusion pump owned by patient, lithium, 1.5 volt, each |
| A4604-HCPCS | Low | Tubing with integrated heating element for use with positive airway pressure device |
| A4605-HCPCS | Low | Tracheal suction catheter, closed system, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4604. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4604 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 A4604) and we'll show you how you compare in 15 minutes or less.