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 B4035 Fee Schedule
HCPCS B4035 is classified under Enteral and Parenteral Therapy, in the Enteral Feeding Supplies and Equipment subgroup.
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
| Key Fact | Detail |
|---|---|
| Service Type | Enteral and Parenteral Therapy Enteral Feeding Supplies and Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | $9.675 median of the 8 states in the free preview · View Medicaid rates for B4035 |
National average reimbursement for HCPCS B4035 by major payers:
$7.78
BCBS / Anthem
$9.88
UnitedHealthcare
$7.43
Aetna
$8.05
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS B4035.
HCPCS B4035
5 of 25 sample ratesHigher to lower in this preview
Arthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$23.73Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$15.11Published rateClinch County Hospital Authority
$13.06Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$9.03Published rateChildrens National Medical Center
Childrens Hospital
$4.09Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS B4035 vs. Other Enteral Feeding Supplies and Equipment Codes
The table lists codes related to B4035. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| B4034-HCPCS | Low | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
| B4035-HCPCS | Low | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
| B4036-HCPCS | Low | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS B4035. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the B4035 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS B4035) and we'll show you how you compare in 15 minutes or less.