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See a sample rate comparisonHCPCS A4680 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Activated carbon filter for hemodialysis, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Dialysis Equipment and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4680 |
National average reimbursement for HCPCS A4680 by major payers:
$49.23
$34.79
$38.90
$46.61
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HCPCS A4680
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$124.83Published rateChu Chen
$52.59Published rateDonalsonville Hospital Inc
$39.70Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$29.03Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$21.76Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4680 vs. Other Dialysis Equipment and Supplies Codes
The HCPCS A4680 code is part of the Medical And Surgical Supplies services used for Dialysis Equipment and Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A4680 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A4674-HCPCS | Low | Chemicals/antiseptics solution used to clean/sterilize dialysis equipment, per 8 oz |
| A4680-HCPCS | Low | Activated carbon filter for hemodialysis, each |
| A4690-HCPCS | Moderate | Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4680. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4680 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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