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See a sample rate comparisonHCPCS A4618 Fee Schedule
HCPCS A4618 is classified under Medical And Surgical Supplies, in the Respiratory Supplies and Equipment subgroup.
Breathing circuits
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Respiratory Supplies and Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | $10.385 median of the 6 states in the free preview · View Medicaid rates for A4618 |
National average reimbursement for HCPCS A4618 by major payers:
$8.22
BCBS / Anthem
$6.39
UnitedHealthcare
$7.50
Aetna
$13.54
Cigna
Compare published rates across providers.
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HCPCS A4618
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$16.38Published rateElbert Memorial Hospital
$5.32Published rateSt. Francis Radiologists, LLC
$4.11Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$1.40Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$0.56Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4618 vs. Other Respiratory Supplies and Equipment Codes
The table lists codes related to A4618. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4617-HCPCS | Low | Mouth piece |
| A4618-HCPCS | Low | Breathing circuits |
| A4619-HCPCS | Low | Face tent |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4618. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4618 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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