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HCPCS A4613 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 charger; replacement for patient-owned ventilator
Key FactDetail
Service Type

Medical And Surgical Supplies

Respiratory Supplies and Equipment

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for A4613

National average reimbursement for HCPCS A4613 by major payers:

bcbs

$83.49

uhc

$77.34

aetna

$69.18

cigna

$173.54

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS A4613.

HCPCS A4613
5 of 25 sample ratesHigher to lower in this preview
  1. Emory Healthcare

    Emory University

    GAGeneral Acute Care HospitalNPI 1598964082Tax ID 58-2030692

    $142.10Published rate
  2. Stephens County Hospital Authority

    GARural Acute Care HospitalNPI 1033191267Tax ID 58-6001667

    $57.61Published rate
  3. Effingham Hospital, Inc., Effingham Health System

    Effingham Hospital Inc

    GACritical Access HospitalNPI 1811962756Tax ID 47-4393589

    $56.25Published rate
  4. Emanuel County Hospital Authority, Emanuel Medical Center

    GARural Acute Care HospitalNPI 1235129214Tax ID 58-6002922

    $7.98Published rate
  5. Effingham Hospital, Inc., Effingham Health System

    Effingham Hospital Inc

    GACritical Access HospitalNPI 1811962756Tax ID 47-4393589

    $5.59Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS A4613 vs. Other Respiratory Supplies and Equipment Codes

The HCPCS A4613 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 A4613 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.

CodeComplexityDescription
A4612-HCPCSLowBattery cables; replacement for patient-owned ventilator
A4613-HCPCSLowBattery charger; replacement for patient-owned ventilator
A4614-HCPCSLowPeak expiratory flow rate meter, hand held

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4613. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A4613 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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