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See a sample rate comparisonHCPCS A4617 Fee Schedule
HCPCS A4617 is classified under Medical And Surgical Supplies, in the Respiratory Supplies and Equipment subgroup.
Mouth piece
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Respiratory Supplies and Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | $4.33 median of the 7 states in the free preview · View Medicaid rates for A4617 |
National average reimbursement for HCPCS A4617 by major payers:
$3.55
BCBS / Anthem
$2.39
UnitedHealthcare
$2.86
Aetna
$5.54
Cigna
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HCPCS A4617
5 of 25 sample ratesHigher to lower in this preview
Craig Zalvan
$2.54Published rateJoseph Depietro
Ent And Allergy Associates, LLP
$2.30Published rateAlexandra Burgess
Best Life Hearing Center LLC
$2.16Published rateKristina Martinez
Ent And Allergy Associates, LLP
$1.96Published rateErica Richman
Ideal Practice Management Group Mi LLC
$1.44Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4617 vs. Other Respiratory Supplies and Equipment Codes
The table lists codes related to A4617. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4616-HCPCS | Low | Tubing (oxygen), per foot |
| A4617-HCPCS | Low | Mouth piece |
| A4618-HCPCS | Low | Breathing circuits |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4617. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4617 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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