# HCPCS A4311: Insertion tray with drainage bag, without catheter, two-way latex

Medicare HCPCS A4311 pays $20.09 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $16.05 in Puerto Rico to $28.00 in Hawaii, a 74% spread.

Web page: https://www.med-reveal.com/rates/A4311-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $20.09 |
| National facility | $20.09 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $28.00 | $28.00 |
| Alaska | $26.22 | $26.22 |
| Alabama | $21.11 | $21.11 |
| Arkansas | $21.11 | $21.11 |
| California | $21.11 | $21.11 |
| Georgia | $21.11 | $21.11 |
| Illinois | $21.11 | $21.11 |
| Indiana | $21.11 | $21.11 |
| Kentucky | $21.11 | $21.11 |
| Louisiana | $21.11 | $21.11 |
| Michigan | $21.11 | $21.11 |
| Minnesota | $21.11 | $21.11 |
| Mississippi | $21.11 | $21.11 |
| Montana | $21.11 | $21.11 |
| Nevada | $21.11 | $21.11 |
| New Mexico | $21.11 | $21.11 |
| North Carolina | $21.11 | $21.11 |
| North Dakota | $21.11 | $21.11 |
| Ohio | $21.11 | $21.11 |
| Oklahoma | $21.11 | $21.11 |
| South Carolina | $21.11 | $21.11 |
| South Dakota | $21.11 | $21.11 |
| Utah | $21.11 | $21.11 |
| Washington | $21.11 | $21.11 |
| West Virginia | $21.11 | $21.11 |
| Wisconsin | $21.11 | $21.11 |
| Wyoming | $21.11 | $21.11 |
| Arizona | $20.90 | $20.90 |
| Tennessee | $20.33 | $20.33 |
| Maine | $19.91 | $19.91 |
| Massachusetts | $19.91 | $19.91 |
| Connecticut | $19.83 | $19.83 |
| Vermont | $19.71 | $19.71 |
| New York | $19.29 | $19.29 |
| Virgin Islands | $19.29 | $19.29 |
| New Hampshire | $18.96 | $18.96 |
| Colorado | $18.71 | $18.71 |
| Texas | $18.33 | $18.33 |
| Nebraska | $18.30 | $18.30 |
| Delaware | $17.94 | $17.94 |
| District of Columbia | $17.94 | $17.94 |
| Florida | $17.94 | $17.94 |
| Idaho | $17.94 | $17.94 |
| Iowa | $17.94 | $17.94 |
| Kansas | $17.94 | $17.94 |
| Maryland | $17.94 | $17.94 |
| Missouri | $17.94 | $17.94 |
| New Jersey | $17.94 | $17.94 |
| Oregon | $17.94 | $17.94 |
| Pennsylvania | $17.94 | $17.94 |
| Rhode Island | $17.94 | $17.94 |
| Virginia | $17.94 | $17.94 |
| Puerto Rico | $16.05 | $16.05 |

## Related codes

- A4310: Insertion tray without drainage bag and without catheter — https://www.med-reveal.com/rates/A4310-hcpcs-fee-schedule
- A4314: Insertion tray with drainage bag, with indwelling catheter, two-way latex — https://www.med-reveal.com/rates/A4314-hcpcs-fee-schedule
- A4315: Insertion tray with drainage bag, with indwelling catheter, two-way, all silicone — https://www.med-reveal.com/rates/A4315-hcpcs-fee-schedule
- A4326: Male external catheter, specialty type — https://www.med-reveal.com/rates/A4326-hcpcs-fee-schedule
- A4327: Female external urinary collection device, meatal cup — https://www.med-reveal.com/rates/A4327-hcpcs-fee-schedule
- A4328: Female external urinary collection device, pouch — https://www.med-reveal.com/rates/A4328-hcpcs-fee-schedule
- A4331: Extension drainage tubing, any type, any length, with connector/adaptor — https://www.med-reveal.com/rates/A4331-hcpcs-fee-schedule
- A4335: Incontinence supply, miscellaneous — https://www.med-reveal.com/rates/A4335-hcpcs-fee-schedule

Commercial negotiated rates for A4311 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules