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See a sample rate comparisonHCPCS B4036 Fee Schedule
HCPCS B4036 is classified under Enteral and Parenteral Therapy, in the Enteral Feeding Supplies and Equipment subgroup.
Enteral feeding supply kit; gravity 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 | $6.97 median of the 8 states in the free preview · View Medicaid rates for B4036 |
National average reimbursement for HCPCS B4036 by major payers:
$5.64
BCBS / Anthem
$7.06
UnitedHealthcare
$7.02
Aetna
$6.08
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS B4036.
HCPCS B4036
5 of 25 sample ratesHigher to lower in this preview
Scottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$17.40Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$11.77Published rateEmory Crawford Long Hospital
Emory University
$8.96Published rateHospital Authority Of Liberty County, Liberty Regional Medical Center
$5.03Published rateAlicia Encinas
Miguel A Arenas Md PC
$2.09Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS B4036 vs. Other Enteral Feeding Supplies and Equipment Codes
The table lists codes related to B4036. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| B4081-HCPCS | Low | Nasogastric tubing with stylet |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS B4036. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the B4036 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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