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See a sample rate comparisonHCPCS A5114 Fee Schedule
HCPCS A5114 is classified under Medical And Surgical Supplies, in the Incontinence Devices and Supplies subgroup.
Leg strap; foam or fabric, replacement only, per set
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $10.20 median of the 7 states in the free preview · View Medicaid rates for A5114 |
National average reimbursement for HCPCS A5114 by major payers:
$9.41
BCBS / Anthem
$6.37
UnitedHealthcare
$8.17
Aetna
$14.52
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A5114.
HCPCS A5114
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$19.45Published rateEmory Crawford Long Hospital
Emory University
$15.26Published rateNorthside Hospital, Inc., Northside Hospital Forsyth
Northside Hospital Inc
$7.23Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$5.07Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$3.99Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5114 vs. Other Incontinence Devices and Supplies Codes
The table lists codes related to A5114. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A5113-HCPCS | Low | Leg strap; latex, replacement only, per set |
| A5114-HCPCS | Low | Leg strap; foam or fabric, replacement only, per set |
| A5120-HCPCS | Low | Skin barrier, wipes or swabs, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5114. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5114 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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