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See a sample rate comparisonHCPCS A4690 Fee Schedule
HCPCS A4690 is classified under Medical And Surgical Supplies, in the Dialysis Equipment and Supplies subgroup.
Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Dialysis Equipment and Supplies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $49.13 median of the 3 states in the free preview · View Medicaid rates for A4690 |
National average reimbursement for HCPCS A4690 by major payers:
$790.78
BCBS / Anthem
$344.69
UnitedHealthcare
$331.67
Aetna
$461.17
Cigna
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HCPCS A4690
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,236.86Published rateChu Chen
$521.16Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$392.45Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$282.67Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$167.86Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4690 vs. Other Dialysis Equipment and Supplies Codes
The table lists codes related to A4690. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4680-HCPCS | Low | Activated carbon filter for hemodialysis, each |
| A4690-HCPCS | Moderate | Dialyzer (artificial kidneys), all types, all sizes, for hemodialysis, each |
| A4706-HCPCS | Low | Bicarbonate concentrate, solution, for hemodialysis, per gallon |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4690. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4690 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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