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HCPCS A4750 Fee Schedule

Last Verified: December 2025

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

National average reimbursement for HCPCS A4750 by major payers:

bcbs

$22.87

uhc

$6.63

aetna

$6.68

cigna

$8.76

Preview provider-level rates for...
For billing codeHCPCS A4750
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS A4750

United
A4750$5.401013553197 - AMY MOORE451471722 - (AL) BAMA HEART DOC, PC DBA ALABAMA HEART & VASCULAR MEDICINEALAcute Care Nurse Practitioner (363LA2100X)
United
A4750$5.401851400485 - GEORGE HEMSTREET451471722 - (AL) BAMA HEART DOC, PC DBA ALABAMA HEART & VASCULAR MEDICINEALInterventional Cardiology Physician (207RI0011X)
United
A4750$3.211902957541 - WILDWOOD SANITARIUM INCORPORATED, WILDWOOD MEDICAL CLINIC586039864 - (GA) WILDWOOD SANITARIUM INCORPORATEDGAGeneral Acute Care Hospital (282N00000X)
United
A4750$5.401629185285 - BACON COUNTY HEALTH SERVICES, INC.582224545 - (GA) BACON COUNTY HEALTH SERVICES INCGACritical Access Hospital (282NC0060X)
United
A4750$3.211235153883 - WILDWOOD SANITARIUM, INCORPORATED, WILDWOOD LIFESTYLE CENTER AND HOSPITAL586039864 - (GA) WILDWOOD SANITARIUM INCORPORATEDGAGeneral Acute Care Hospital (282N00000X)
United
A4750$7.251194779702 - JOHN D. ARCHBOLD MEMORIAL HOSPITAL, INC.580566121 - JOHN D ARCHBOLD MEMORIAL HOSPITAL INCGAGeneral Acute Care Hospital (282N00000X)
United
A4750$7.921801844469 - AUGUSTA VAMC582089405 - AUGUSTA VAMCGAGeneral Acute Care Hospital (282N00000X)
United
A4750$10.641639157431 - PHOEBE WORTH MEDICAL CENTER, INC, PHOEBE WORTH MEDICAL CENTER, INC383647394 - (GA) PHOEBE WORTH MEDICAL CENTER INCGACritical Access Hospital (282NC0060X)
United
A4750$7.511912099094 - COLQUITT REGIONAL MEDICAL CENTER580607088 - COLQUITT REGIONAL MEDICAL CENTERGAGeneral Acute Care Hospital (282N00000X)
United
A4750$4.051134259328 - BORBAS SURGICAL SUPPLY, INC113568895 - (NY) BORBAS SURGICAL SUPPLY INCNYDurable Medical Equipment & Medical Supplies (332B00000X)
United
A4750$8.561689736282 - THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY586002961GARural Acute Care Hospital (282NR1301X)
United
A4750$12.321689063554 - ATL COLORECTAL SURGERY205040872 - (GA) ATL COLORECTAL SURGERYGAGeneral Acute Care Hospital (282N00000X)
United
A4750$7.511760452098 - HOSPITAL AUTHORITY OF JENKINS COUNTY581158547 - (GA) HOSPITAL AUTHORITY OF JENKINS COUNTY DBA JENKINS COUNTY MEDICAL CENTERGACritical Access Hospital (282NC0060X)
United
A4750$9.961073502985 - CHU CHEN42484572MAPediatrics Physician (208000000X)
United
A4750$11.031255401519 - THE MEDICAL CENTER INC, PIEDMONT COLUMBUS REGIONAL MIDTOWN581685139 - (GA) THE MEDICAL CENTER INCGAGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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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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