Rate Benchmarking
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See a sample rate comparisonHCPCS A4637 Fee Schedule
HCPCS A4637 is classified under Medical And Surgical Supplies, in the Replacement Parts subgroup.
Replacement, tip, cane, crutch, walker, each.
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Replacement Parts |
| Complexity Level | Low |
| Medicaid Fee Schedule | $1.925 median of the 6 states in the free preview · View Medicaid rates for A4637 |
National average reimbursement for HCPCS A4637 by major payers:
$1.49
BCBS / Anthem
$1.34
UnitedHealthcare
$1.42
Aetna
$2.54
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4637.
HCPCS A4637
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$3.60Published rateDonalsonville Hospital Inc
$1.17Published rateChi Memorial Hospital
Chi Memorial Hospital - Georgia
$1.05Published rateChristopher Raio
Mercy Medical Center
$0.64Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$0.10Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4637 vs. Other Replacement Parts Codes
The table lists codes related to A4637. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4636-HCPCS | Low | Replacement, handgrip, cane, crutch, or walker, each |
| A4637-HCPCS | Low | Replacement, tip, cane, crutch, walker, each. |
| A4638-HCPCS | Low | Replacement battery for patient-owned ear pulse generator, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4637. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4637 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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