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HCPCS A4750 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.

Blood tubing, arterial or venous, for hemodialysis, each
Key FactDetail
Service Type

Medical And Surgical Supplies

Dialysis Equipment and Supplies

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for A4750

National average reimbursement for HCPCS A4750 by major payers:

bcbs

$22.87

uhc

$6.63

aetna

$6.68

cigna

$8.76

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS A4750.

HCPCS A4750
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $23.64Published rate
  2. Victoria Lewis-Holland

    GAGeneral Acute Care HospitalNPI 1487721718Tax ID 58-6011888

    $9.51Published rate
  3. Hospital Authority Of Ben Hill, Dorminy Medical Center

    GARural Acute Care HospitalNPI 1245248624Tax ID 58-1157005

    $5.80Published rate
  4. Grady Memorial Hospital Corporation, Grady Health Systems

    Grady Memorial Hospital Corporation

    GAGeneral Acute Care HospitalNPI 1992799050Tax ID 26-2037695

    $5.40Published rate
  5. Wildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital

    Wildwood Sanitarium Incorporated

    GAGeneral Acute Care HospitalNPI 1235153883Tax ID 58-6039864

    $3.21Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS A4750 vs. Other Dialysis Equipment and Supplies Codes

The HCPCS A4750 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 A4750 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.

CodeComplexityDescription
A4740-HCPCSLowShunt accessory, for hemodialysis, any type, each
A4750-HCPCSLowBlood tubing, arterial or venous, for hemodialysis, each
A4755-HCPCSLowBlood tubing, arterial and venous combined, 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 A4750. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A4750 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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