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 A4635 is classified under Medical And Surgical Supplies, in the Replacement Parts subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Replacement Parts |
| Complexity Level | Low |
| Medicaid Fee Schedule | $5.19 median of the 7 states in the free preview · View Medicaid rates for A4635 |
National average reimbursement for HCPCS A4635 by major payers:

$4.45
BCBS / Anthem

$3.59
UnitedHealthcare

$4.05
Aetna

$7.23
Cigna
Choose a payer to see a sample of rates for HCPCS A4635.
Emory University Hospital
Emory University
Atlanta Vamc
Navicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
Hospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
Hospital Authority Of Jenkins County
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 A4635 vs. Other Replacement Parts Codes
The table lists codes related to A4635. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4634-HCPCS | Low | Replacement bulb for therapeutic light box, tabletop model |
| A4635-HCPCS | Low | Underarm pad, crutch, replacement, each |
| A4636-HCPCS | Low | Replacement, handgrip, cane, crutch, or walker, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4635. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4635 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 A4635) and we'll show you how you compare in 15 minutes or less.