# HCPCS A4346: Indwelling catheter, Foley type, three-way, for continuous irrigation

Medicare HCPCS A4346 pays $26.39 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $23.72 in Washington to $29.23 in Hawaii, a 23% spread.

Web page: https://www.med-reveal.com/rates/A4346-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $26.39 |
| National facility | $26.39 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $29.23 | $29.23 |
| Alabama | $27.91 | $27.91 |
| Colorado | $27.91 | $27.91 |
| Connecticut | $27.91 | $27.91 |
| Florida | $27.91 | $27.91 |
| Illinois | $27.91 | $27.91 |
| Indiana | $27.91 | $27.91 |
| Iowa | $27.91 | $27.91 |
| Kansas | $27.91 | $27.91 |
| Kentucky | $27.91 | $27.91 |
| Louisiana | $27.91 | $27.91 |
| Massachusetts | $27.91 | $27.91 |
| Michigan | $27.91 | $27.91 |
| Minnesota | $27.91 | $27.91 |
| Nebraska | $27.91 | $27.91 |
| New Mexico | $27.91 | $27.91 |
| North Dakota | $27.91 | $27.91 |
| Ohio | $27.91 | $27.91 |
| Oklahoma | $27.91 | $27.91 |
| Oregon | $27.91 | $27.91 |
| South Dakota | $27.91 | $27.91 |
| Tennessee | $27.91 | $27.91 |
| Utah | $27.91 | $27.91 |
| Virginia | $27.91 | $27.91 |
| West Virginia | $27.91 | $27.91 |
| Wyoming | $27.91 | $27.91 |
| Wisconsin | $27.71 | $27.71 |
| Maryland | $27.62 | $27.62 |
| Arizona | $27.44 | $27.44 |
| Nevada | $27.44 | $27.44 |
| Alaska | $27.33 | $27.33 |
| California | $27.07 | $27.07 |
| Montana | $25.42 | $25.42 |
| New York | $25.30 | $25.30 |
| Virgin Islands | $25.30 | $25.30 |
| Mississippi | $24.74 | $24.74 |
| Puerto Rico | $24.64 | $24.64 |
| Delaware | $24.29 | $24.29 |
| District of Columbia | $24.29 | $24.29 |
| New Jersey | $24.29 | $24.29 |
| Pennsylvania | $24.29 | $24.29 |
| Arkansas | $23.72 | $23.72 |
| Georgia | $23.72 | $23.72 |
| Idaho | $23.72 | $23.72 |
| Maine | $23.72 | $23.72 |
| Missouri | $23.72 | $23.72 |
| New Hampshire | $23.72 | $23.72 |
| North Carolina | $23.72 | $23.72 |
| Rhode Island | $23.72 | $23.72 |
| South Carolina | $23.72 | $23.72 |
| Texas | $23.72 | $23.72 |
| Vermont | $23.72 | $23.72 |
| Washington | $23.72 | $23.72 |

## 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
- 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

Commercial negotiated rates for A4346 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