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See a sample rate comparisonHCPCS A4628 Fee Schedule
HCPCS A4628 is classified under Medical And Surgical Supplies, in the Respiratory Supplies and Equipment subgroup.
Oral and/or oropharyngeal suction catheter, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Respiratory Supplies and Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | $4.365 median of the 6 states in the free preview · View Medicaid rates for A4628 |
National average reimbursement for HCPCS A4628 by major payers:
$4.24
BCBS / Anthem
$2.77
UnitedHealthcare
$3.42
Aetna
$6.58
Cigna
Compare published rates across providers.
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HCPCS A4628
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$4.61Published rateDublin Vamc
$2.99Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$2.43Published rateLower Oconee Community Hospital Inc
$1.50Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$0.27Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4628 vs. Other Respiratory Supplies and Equipment Codes
The table lists codes related to A4628. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A4629-HCPCS | Low | Tracheostomy care kit for established tracheostomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4628. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4628 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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