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See a sample rate comparisonHCPCS A4612 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.
Battery cables; replacement for patient-owned ventilator
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Respiratory Supplies and Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4612 |
National average reimbursement for HCPCS A4612 by major payers:
$57.18
$42.58
$40.30
$81.88
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HCPCS A4612
5 of 25 sample ratesHigher to lower in this preview
Ujuka Iloabuchi
$120.62Published rateChristopher Raio
St Francis Hospital
$43.37Published rateLeigh Taylor
$31.34Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$18.61Published rateUpson County Hospital Inc, Upson Regional Medical Center
Upson County Hospital Inc
$2.89Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4612 vs. Other Respiratory Supplies and Equipment Codes
The HCPCS A4612 code is part of the Medical And Surgical Supplies services used for Respiratory Supplies and Equipment. 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 A4612 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 |
|---|---|---|
| A4611-HCPCS | Low | Battery, heavy duty; replacement for patient owned ventilator |
| A4612-HCPCS | Low | Battery cables; replacement for patient-owned ventilator |
| A4613-HCPCS | Low | Battery charger; replacement for patient-owned ventilator |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4612. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4612 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.
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