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See a sample rate comparisonHCPCS A4627 Fee Schedule
HCPCS A4627 is classified under Medical And Surgical Supplies, in the Respiratory Supplies and Equipment subgroup.
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Respiratory Supplies and Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | $32.00 median of the 7 states in the free preview · View Medicaid rates for A4627 |
National average reimbursement for HCPCS A4627 by major payers:
$19.36
BCBS / Anthem
$8.98
UnitedHealthcare
$9.10
Aetna
$23.62
Cigna
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HCPCS A4627
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$32.14Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$15.97Published rateTaylor Regional Hospital
$10.18Published rateHospital Authority Of Valdosta And Lowndes County Georgia, South Georgia Medical Center
Hospital Authority Of Valdosta And Lowndes County Georgia
$7.34Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$4.90Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4627 vs. Other Respiratory Supplies and Equipment Codes
The table lists codes related to A4627. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4626-HCPCS | Low | Tracheostomy cleaning brush, each |
| A4627-HCPCS | Low | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
| A4628-HCPCS | Low | Oral and/or oropharyngeal suction catheter, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4627. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4627 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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