# HCPCS A4354: Insertion tray with drainage bag but without catheter, sterile

Medicare HCPCS A4354 pays $16.56 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $14.31 in Wyoming to $27.31 in Hawaii, a 91% spread.

Web page: https://www.med-reveal.com/rates/A4354-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $16.56 |
| National facility | $16.56 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $27.31 | $27.31 |
| Alaska | $25.52 | $25.52 |
| Puerto Rico | $25.22 | $25.22 |
| Alabama | $16.83 | $16.83 |
| Arizona | $16.83 | $16.83 |
| Arkansas | $16.83 | $16.83 |
| California | $16.83 | $16.83 |
| Colorado | $16.83 | $16.83 |
| Connecticut | $16.83 | $16.83 |
| Illinois | $16.83 | $16.83 |
| Iowa | $16.83 | $16.83 |
| Kansas | $16.83 | $16.83 |
| Kentucky | $16.83 | $16.83 |
| Louisiana | $16.83 | $16.83 |
| Maine | $16.83 | $16.83 |
| Massachusetts | $16.83 | $16.83 |
| Minnesota | $16.83 | $16.83 |
| Mississippi | $16.83 | $16.83 |
| Missouri | $16.83 | $16.83 |
| Nebraska | $16.83 | $16.83 |
| Nevada | $16.83 | $16.83 |
| North Carolina | $16.83 | $16.83 |
| Ohio | $16.83 | $16.83 |
| Rhode Island | $16.83 | $16.83 |
| South Carolina | $16.83 | $16.83 |
| Tennessee | $16.83 | $16.83 |
| Texas | $16.83 | $16.83 |
| West Virginia | $16.83 | $16.83 |
| Delaware | $16.66 | $16.66 |
| District of Columbia | $16.66 | $16.66 |
| New Jersey | $16.66 | $16.66 |
| Pennsylvania | $16.66 | $16.66 |
| Indiana | $16.59 | $16.59 |
| Wisconsin | $16.59 | $16.59 |
| South Dakota | $16.47 | $16.47 |
| Oklahoma | $16.16 | $16.16 |
| Idaho | $15.82 | $15.82 |
| New Mexico | $15.42 | $15.42 |
| Michigan | $14.50 | $14.50 |
| Maryland | $14.49 | $14.49 |
| Florida | $14.31 | $14.31 |
| Georgia | $14.31 | $14.31 |
| Montana | $14.31 | $14.31 |
| New Hampshire | $14.31 | $14.31 |
| New York | $14.31 | $14.31 |
| North Dakota | $14.31 | $14.31 |
| Oregon | $14.31 | $14.31 |
| Utah | $14.31 | $14.31 |
| Vermont | $14.31 | $14.31 |
| Virgin Islands | $14.31 | $14.31 |
| Virginia | $14.31 | $14.31 |
| Washington | $14.31 | $14.31 |
| Wyoming | $14.31 | $14.31 |

## 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 A4354 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