# HCPCS A4358: Urinary leg or abdomen bag, vinyl, latex, or equivalent

Medicare HCPCS A4358 pays $9.02 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $7.92 in Puerto Rico to $10.04 in Hawaii, a 27% spread.

Web page: https://www.med-reveal.com/rates/A4358-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $9.02 |
| National facility | $9.02 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $10.04 | $10.04 |
| Arkansas | $9.46 | $9.46 |
| Colorado | $9.46 | $9.46 |
| Connecticut | $9.46 | $9.46 |
| Delaware | $9.46 | $9.46 |
| District of Columbia | $9.46 | $9.46 |
| Florida | $9.46 | $9.46 |
| Illinois | $9.46 | $9.46 |
| Kansas | $9.46 | $9.46 |
| Louisiana | $9.46 | $9.46 |
| Maryland | $9.46 | $9.46 |
| Massachusetts | $9.46 | $9.46 |
| Nebraska | $9.46 | $9.46 |
| Nevada | $9.46 | $9.46 |
| New Jersey | $9.46 | $9.46 |
| New Mexico | $9.46 | $9.46 |
| North Carolina | $9.46 | $9.46 |
| North Dakota | $9.46 | $9.46 |
| Ohio | $9.46 | $9.46 |
| Oklahoma | $9.46 | $9.46 |
| Pennsylvania | $9.46 | $9.46 |
| Rhode Island | $9.46 | $9.46 |
| Vermont | $9.46 | $9.46 |
| Virginia | $9.46 | $9.46 |
| West Virginia | $9.46 | $9.46 |
| Wisconsin | $9.46 | $9.46 |
| Wyoming | $9.46 | $9.46 |
| Alaska | $9.39 | $9.39 |
| Utah | $9.33 | $9.33 |
| California | $9.32 | $9.32 |
| Minnesota | $9.32 | $9.32 |
| Georgia | $9.25 | $9.25 |
| Washington | $9.20 | $9.20 |
| Montana | $9.06 | $9.06 |
| New York | $8.94 | $8.94 |
| Virgin Islands | $8.94 | $8.94 |
| Alabama | $8.86 | $8.86 |
| Maine | $8.43 | $8.43 |
| Mississippi | $8.43 | $8.43 |
| Arizona | $8.39 | $8.39 |
| Michigan | $8.35 | $8.35 |
| Oregon | $8.32 | $8.32 |
| Missouri | $8.13 | $8.13 |
| Idaho | $8.04 | $8.04 |
| Indiana | $8.04 | $8.04 |
| Iowa | $8.04 | $8.04 |
| Kentucky | $8.04 | $8.04 |
| New Hampshire | $8.04 | $8.04 |
| South Carolina | $8.04 | $8.04 |
| South Dakota | $8.04 | $8.04 |
| Tennessee | $8.04 | $8.04 |
| Texas | $8.04 | $8.04 |
| Puerto Rico | $7.92 | $7.92 |

## 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 A4358 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