Rate Benchmarking
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Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A4623 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 | $7.83 median of the 7 states in the free preview · View Medicaid rates for A4623 |
National average reimbursement for HCPCS A4623 by major payers:

$6.92
BCBS / Anthem

$4.69
UnitedHealthcare

$5.65
Aetna

$10.64
Cigna
Choose a payer to see a sample of rates for HCPCS A4623.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Christopher Chambers
Cooperative Healthcare Services Inc
Dublin Vamc
Willamette Community Health Solutions, Cascade Health Solutions
Wildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
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 A4623 vs. Other Respiratory Supplies and Equipment Codes
The table lists codes related to A4623. Select one to see its fee schedule.
| 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.
Bring your top codes (like HCPCS A4623) and we'll show you how you compare in 15 minutes or less.