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See a sample rate comparisonHCPCS A4605 is classified under Medical And Surgical Supplies, in the Various Medical Supplies Including Tapes and Surgical Dressings subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Various Medical Supplies Including Tapes and Surgical Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $19.60 median of the 7 states in the free preview · View Medicaid rates for A4605 |
National average reimbursement for HCPCS A4605 by major payers:

$18.94
BCBS / Anthem

$12.17
UnitedHealthcare

$15.52
Aetna

$28.50
Cigna
Choose a payer to see a sample of rates for HCPCS A4605.
Emory University Hospital
Emory University
Meriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
Emanuel County Hospital Authority, Emanuel Medical Center
Atlanta Vamc
Wildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A4605 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes
The table lists codes related to A4605. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4604-HCPCS | Low | Tubing with integrated heating element for use with positive airway pressure device |
| A4605-HCPCS | Low | Tracheal suction catheter, closed system, each |
| A4606-HCPCS | Low | Oxygen probe for use with oximeter device, replacement |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4605 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.
Bring your top codes (like HCPCS A4605) and we'll show you how you compare in 15 minutes or less.