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See a sample rate comparisonHCPCS A4620 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.
Variable concentration mask
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Respiratory Supplies and Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4620 |
National average reimbursement for HCPCS A4620 by major payers:
$0.76
$0.49
$0.76
$7.71
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HCPCS A4620
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1.54Published rateAtlanta Vamc
$0.57Published rateMeriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$0.43Published rateNicole Schwab
Allergy & Asthma Of Dupage, S.C.
$0.40Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$0.28Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4620 vs. Other Respiratory Supplies and Equipment Codes
The HCPCS A4620 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 A4620 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 |
|---|---|---|
| A4619-HCPCS | Low | Face tent |
| A4620-HCPCS | Low | Variable concentration mask |
| A4623-HCPCS | Low | Tracheostomy, inner cannula |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4620. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4620 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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