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See a sample rate comparisonHCPCS A4255 Fee Schedule
HCPCS A4255 is classified under Medical And Surgical Supplies, in the Other Supplies Including Diabetes Supplies and Contraceptives subgroup.
Platforms for home blood glucose monitor, 50 per box
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Other Supplies Including Diabetes Supplies and Contraceptives |
| Complexity Level | Low |
| Medicaid Fee Schedule | $5.74 median of the 7 states in the free preview · View Medicaid rates for A4255 |
National average reimbursement for HCPCS A4255 by major payers:
$4.90
BCBS / Anthem
$3.00
UnitedHealthcare
$3.86
Aetna
$4.47
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4255.
HCPCS A4255
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$10.48Published ratePiedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$6.38Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$2.70Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$2.63Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$1.84Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4255 vs. Other Other Supplies Including Diabetes Supplies and Contraceptives Codes
The table lists codes related to A4255. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4253-HCPCS | Low | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
| A4255-HCPCS | Low | Platforms for home blood glucose monitor, 50 per box |
| A4256-HCPCS | Low | Normal, low and high calibrator solution / chips |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4255. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4255 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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