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See a sample rate comparisonHCPCS A5082 Fee Schedule
HCPCS A5082 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Continent device; catheter for continent stoma
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $13.895 median of the 8 states in the free preview · View Medicaid rates for A5082 |
National average reimbursement for HCPCS A5082 by major payers:
$13.11
BCBS / Anthem
$8.37
UnitedHealthcare
$10.71
Aetna
$18.63
Cigna
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HCPCS A5082
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$30.40Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$19.13Published rateDodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
$8.28Published rateHospital Authority Of Jenkins County
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$7.73Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$5.30Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5082 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A5082. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A5081-HCPCS | Low | Stoma plug or seal, any type |
| A5082-HCPCS | Low | Continent device; catheter for continent stoma |
| A5083-HCPCS | Low | Continent device, stoma absorptive cover for continent stoma |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5082. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5082 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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