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See a sample rate comparisonHCPCS A4630 Fee Schedule
HCPCS A4630 is classified under Medical And Surgical Supplies, in the Replacement Parts subgroup.
Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Replacement Parts |
| Complexity Level | Low |
| Medicaid Fee Schedule | $7.425 median of the 8 states in the free preview · View Medicaid rates for A4630 |
National average reimbursement for HCPCS A4630 by major payers:
$6.06
BCBS / Anthem
$4.38
UnitedHealthcare
$5.16
Aetna
$9.17
Cigna
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HCPCS A4630
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$15.94Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$3.74Published rateHospital Authority Of Jenkins County
$3.45Published rateEmory University Hospital
Emory University
$1.08Published rateBacon County Health Services, Inc, Bacon County Rural Health Clinic
Bacon County Health Services Inc
$0.43Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4630 vs. Other Replacement Parts Codes
The table lists codes related to A4630. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4629-HCPCS | Low | Tracheostomy care kit for established tracheostomy |
| A4630-HCPCS | Low | Replacement batteries, medically necessary, transcutaneous electrical stimulator, owned by patient |
| A4633-HCPCS | Low | Replacement bulb/lamp for ultraviolet light therapy 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 A4630. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4630 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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