# HCPCS A4315: Insertion tray with drainage bag, with indwelling catheter, two-way, all silicone

Medicare HCPCS A4315 pays $36.17 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $31.95 in Virginia to $48.37 in Hawaii, a 51% spread.

Web page: https://www.med-reveal.com/rates/A4315-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $36.17 |
| National facility | $36.17 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $48.37 | $48.37 |
| Alaska | $45.23 | $45.23 |
| Arizona | $37.59 | $37.59 |
| California | $37.59 | $37.59 |
| Colorado | $37.59 | $37.59 |
| Illinois | $37.59 | $37.59 |
| Indiana | $37.59 | $37.59 |
| Iowa | $37.59 | $37.59 |
| Kansas | $37.59 | $37.59 |
| Kentucky | $37.59 | $37.59 |
| Michigan | $37.59 | $37.59 |
| Minnesota | $37.59 | $37.59 |
| Mississippi | $37.59 | $37.59 |
| Missouri | $37.59 | $37.59 |
| Nebraska | $37.59 | $37.59 |
| Nevada | $37.59 | $37.59 |
| New York | $37.59 | $37.59 |
| North Carolina | $37.59 | $37.59 |
| North Dakota | $37.59 | $37.59 |
| Ohio | $37.59 | $37.59 |
| South Carolina | $37.59 | $37.59 |
| South Dakota | $37.59 | $37.59 |
| Tennessee | $37.59 | $37.59 |
| Utah | $37.59 | $37.59 |
| Virgin Islands | $37.59 | $37.59 |
| Washington | $37.59 | $37.59 |
| West Virginia | $37.59 | $37.59 |
| Wisconsin | $37.59 | $37.59 |
| Wyoming | $37.04 | $37.04 |
| Delaware | $36.78 | $36.78 |
| District of Columbia | $36.78 | $36.78 |
| New Jersey | $36.78 | $36.78 |
| Pennsylvania | $36.78 | $36.78 |
| Texas | $36.65 | $36.65 |
| Puerto Rico | $36.59 | $36.59 |
| Arkansas | $36.10 | $36.10 |
| Louisiana | $36.03 | $36.03 |
| Oklahoma | $34.91 | $34.91 |
| New Mexico | $33.51 | $33.51 |
| Montana | $32.82 | $32.82 |
| Alabama | $31.95 | $31.95 |
| Connecticut | $31.95 | $31.95 |
| Florida | $31.95 | $31.95 |
| Georgia | $31.95 | $31.95 |
| Idaho | $31.95 | $31.95 |
| Maine | $31.95 | $31.95 |
| Maryland | $31.95 | $31.95 |
| Massachusetts | $31.95 | $31.95 |
| New Hampshire | $31.95 | $31.95 |
| Oregon | $31.95 | $31.95 |
| Rhode Island | $31.95 | $31.95 |
| Vermont | $31.95 | $31.95 |
| Virginia | $31.95 | $31.95 |

## Related codes

- A4310: Insertion tray without drainage bag and without catheter — https://www.med-reveal.com/rates/A4310-hcpcs-fee-schedule
- A4311: Insertion tray with drainage bag, without catheter, two-way latex — https://www.med-reveal.com/rates/A4311-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
- 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 A4315 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