Rate Benchmarking
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See a sample rate comparisonHCPCS A4626 Fee Schedule
HCPCS A4626 is classified under Medical And Surgical Supplies, in the Respiratory Supplies and Equipment subgroup.
Tracheostomy cleaning brush, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Respiratory Supplies and Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | $3.80 median of the 7 states in the free preview · View Medicaid rates for A4626 |
National average reimbursement for HCPCS A4626 by major payers:
$3.49
BCBS / Anthem
$2.28
UnitedHealthcare
$2.82
Aetna
$5.14
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4626.
HCPCS A4626
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$8.27Published rateCarson Medical Group Professional Corporation
Carson Medical Group
$2.71Published rateLeigh Taylor
$2.22Published rateHospital Authority Of Jenkins County
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$2.06Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$1.42Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4626 vs. Other Respiratory Supplies and Equipment Codes
The table lists codes related to A4626. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4625-HCPCS | Low | Tracheostomy care kit for new tracheostomy |
| A4626-HCPCS | Low | Tracheostomy cleaning brush, each |
| A4627-HCPCS | Low | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4626. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4626 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.
FREE SAMPLE MARKET COMPARISON
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Bring your top codes (like HCPCS A4626) and we'll show you how you compare in 15 minutes or less.