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See a sample rate comparisonHCPCS A4870 Fee Schedule
HCPCS A4870 is classified under Medical And Surgical Supplies, in the Dialysis Equipment and Supplies subgroup.
Plumbing and/or electrical work for home hemodialysis equipment
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Dialysis Equipment and Supplies |
| Complexity Level | Low |
National average reimbursement for HCPCS A4870 by major payers:
$30.71
BCBS / Anthem
$54.94
UnitedHealthcare
$37.28
Aetna
$159.00
Cigna
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HCPCS A4870
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4870 vs. Other Dialysis Equipment and Supplies Codes
The table lists codes related to A4870. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4860-HCPCS | Low | Disposable catheter tips for peritoneal dialysis, per 10 |
| A4870-HCPCS | Low | Plumbing and/or electrical work for home hemodialysis equipment |
| A4890-HCPCS | Moderate | Contracts, repair and maintenance, for hemodialysis equipment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4870. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4870 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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