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See a sample rate comparisonHCPCS A2004 (Xcellistem Wound Powder) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Xcellistem, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Matrix for Wound Management (Placental, Equine, Synthetic) |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A2004 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS A2004 by major payers:
$99.74
$11.70
$12.95
$70.20
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HCPCS A2004
5 of 25 sample ratesHigher to lower in this preview
Piedmont Hospital, Inc, Piedmont Hospital
Piedmont Healthcare Inc
$30.42Published rateChristopher Chambers
Cooperative Healthcare Services Inc
$15.60Published rateHospital Authority Of Jenkins County
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$13.39Published rateDublin Vamc
$13.39Published rateChristopher Raio
St Francis Hospital
$13.32Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A2004 vs. Other Matrix for Wound Management (Placental, Equine, Synthetic) Codes
The HCPCS A2004 code is part of the Matrix for Wound Management (Placental, Equine, Synthetic) services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A2004 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A2002-HCPCS | Low | Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) |
| A2004-HCPCS | Low | Xcellistem, 1 mg |
| A2005-HCPCS | Low | Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A2004. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A2004 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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