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See a sample rate comparisonHCPCS A4245 Fee Schedule
Last Verified: September 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.
Alcohol wipes, per box
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Other Supplies Including Diabetes Supplies and Contraceptives |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4245 |
National average reimbursement for HCPCS A4245 by major payers:
$3.43
$1.56
$1.61
$2.81
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HCPCS A4245
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$5.68Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$2.56Published rateUnion County Hospital Authority, Union General Hospital
Union County Hospital Authority
$1.92Published rateSt. Francis Radiologists, LLC
$1.29Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$0.87Published rate
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See a sample payer proposalHCPCS A4245 vs. Other Other Supplies Including Diabetes Supplies and Contraceptives Codes
The HCPCS A4245 code is part of the Medical And Surgical Supplies services used for Other Supplies Including Diabetes Supplies and Contraceptives. 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 A4245 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 |
|---|---|---|
| A4244-HCPCS | Low | Alcohol or peroxide, per pint |
| A4245-HCPCS | Low | Alcohol wipes, per box |
| A4246-HCPCS | Low | Betadine or pHisoHex solution, per pint |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4245. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4245 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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