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See a sample rate comparisonHCPCS A4714 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.
Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Dialysis Equipment and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4714 |
National average reimbursement for HCPCS A4714 by major payers:
$20.47
$41.11
$2.88
$68.82
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HCPCS A4714
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$153.19Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$58.43Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$43.45Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$34.91Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$20.79Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4714 vs. Other Dialysis Equipment and Supplies Codes
The HCPCS A4714 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 A4714 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 |
|---|---|---|
| A4709-HCPCS | Low | Acid concentrate, solution, for hemodialysis, per gallon |
| A4714-HCPCS | Low | Treated water (deionized, distilled, or reverse osmosis) for peritoneal dialysis, per gallon |
| A4719-HCPCS | Low | "Y set" tubing for peritoneal dialysis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4714. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4714 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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