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See a sample rate comparisonHCPCS A4613 is classified under Medical And Surgical Supplies, in the Respiratory Supplies and Equipment subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Respiratory Supplies and Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | $120.13 median of the 7 states in the free preview · View Medicaid rates for A4613 |
National average reimbursement for HCPCS A4613 by major payers:

$83.49
BCBS / Anthem

$77.34
UnitedHealthcare

$69.18
Aetna

$173.54
Cigna
Choose a payer to see a sample of rates for HCPCS A4613.
Emory Healthcare
Emory University
Stephens County Hospital Authority
Effingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
Emanuel County Hospital Authority, Emanuel Medical Center
Effingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
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 A4613 vs. Other Respiratory Supplies and Equipment Codes
The table lists codes related to A4613. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4612-HCPCS | Low | Battery cables; replacement for patient-owned ventilator |
| A4613-HCPCS | Low | Battery charger; replacement for patient-owned ventilator |
| A4614-HCPCS | Low | Peak 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.
Bring your top codes (like HCPCS A4613) and we'll show you how you compare in 15 minutes or less.