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See a sample rate comparisonHCPCS A4623 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.
Tracheostomy, inner cannula
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Respiratory Supplies and Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4623 |
National average reimbursement for HCPCS A4623 by major payers:
$6.92
$4.69
$5.65
$10.64
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HCPCS A4623
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$16.74Published rateChristopher Chambers
Cooperative Healthcare Services Inc
$6.26Published rateDublin Vamc
$5.23Published rateWillamette Community Health Solutions, Cascade Health Solutions
$3.88Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$2.91Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4623 vs. Other Respiratory Supplies and Equipment Codes
The HCPCS A4623 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 A4623 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 |
|---|---|---|
| A4620-HCPCS | Low | Variable concentration mask |
| A4623-HCPCS | Low | Tracheostomy, inner cannula |
| A4624-HCPCS | Low | Tracheal suction catheter, any type other than closed system, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4623. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4623 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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