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See a sample rate comparisonHCPCS A5083 Fee Schedule
HCPCS A5083 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Continent device, stoma absorptive cover for continent stoma
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $0.785 median of the 8 states in the free preview · View Medicaid rates for A5083 |
National average reimbursement for HCPCS A5083 by major payers:
$0.79
BCBS / Anthem
$0.47
UnitedHealthcare
$0.63
Aetna
$7.79
Cigna
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HCPCS A5083
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1.65Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$0.89Published rateChristopher Raio
St Francis Hospital
$0.43Published rateProfessional Resources Management Of Rabun, LLC, Mountain Lakes Medical Center
$0.40Published rateNortheast Georgia Medical Center, Inc.
Gainesville Radiology Group
$0.37Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5083 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A5083. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A5082-HCPCS | Low | Continent device; catheter for continent stoma |
| A5083-HCPCS | Low | Continent device, stoma absorptive cover for continent stoma |
| A5093-HCPCS | Low | Ostomy accessory; convex insert |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5083. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5083 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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