Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A5200 is classified under Medical And Surgical Supplies, in the Incontinence Devices and Supplies subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $13.51 median of the 7 states in the free preview · View Medicaid rates for A5200 |
National average reimbursement for HCPCS A5200 by major payers:

$13.25
BCBS / Anthem

$8.35
UnitedHealthcare

$10.78
Aetna

$18.58
Cigna
Choose a payer to see a sample of rates for HCPCS A5200.
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
Chu Chen
Phoenix Vamc
Ty Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
Michael Guillette
Aztec Urgent Care LLC
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A5200 vs. Other Incontinence Devices and Supplies Codes
The table lists codes related to A5200. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A5131-HCPCS | Low | Appliance cleaner, incontinence and ostomy appliances, per 16 oz. |
| A5200-HCPCS | Low | Percutaneous catheter/tube anchoring device, adhesive skin attachment |
| A5500-HCPCS | Low | For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi- density insert(s), per shoe |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5200 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.
Bring your top codes (like HCPCS A5200) and we'll show you how you compare in 15 minutes or less.