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HCPCS A4773 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.

Occult blood test strips, for dialysis, per 50
Key FactDetail
Service Type

Medical And Surgical Supplies

Dialysis Equipment and Supplies

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for A4773

National average reimbursement for HCPCS A4773 by major payers:

bcbs

$48.28

uhc

$8.74

aetna

$13.92

cigna

$11.56

Compare published rates across providers.

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HCPCS A4773
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $31.20Published rate
  2. Irwin County Hospital

    GAGeneral Acute Care HospitalNPI 1720098791Tax ID 58-6003765

    $11.18Published rate
  3. Houston Hospitals Inc, Houston Medical Center

    Houston Hospitals Inc

    GAGeneral Acute Care HospitalNPI 1962435792Tax ID 71-1045290

    $7.53Published rate
  4. Hospital Authority Of Liberty County, Liberty Regional Medical Center

    GACritical Access HospitalNPI 1326079260Tax ID 58-6025016

    $7.11Published rate
  5. Wildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital

    Wildwood Sanitarium Incorporated

    GAGeneral Acute Care HospitalNPI 1235153883Tax ID 58-6039864

    $4.23Published rate

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

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HCPCS A4773 vs. Other Dialysis Equipment and Supplies Codes

The HCPCS A4773 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 A4773 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
A4772-HCPCSLowBlood glucose test strips, for dialysis, per 50
A4773-HCPCSLowOccult blood test strips, for dialysis, per 50
A4774-HCPCSLowAmmonia test strips, for dialysis, per 50

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4773. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A4773 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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