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See a sample rate comparisonHCPCS A4258 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.
Spring-powered device for lancet, each
| 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 A4258 |
National average reimbursement for HCPCS A4258 by major payers:
$4.38
$6.51
$3.71
$2.27
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HCPCS A4258
5 of 25 sample ratesHigher to lower in this preview
Good Samaritan Hospital Dme
Good Samaritan Hosptial Medical Center
$17.11Published rateBuffalo Wheelchair, Inc., Rochester Oxygen & Cpap
Buffalo Wheelchair, Inc.
$9.06Published rateRegency Associates, Inc.
Regency Associates Inc
$8.06Published rateOlean General Healthcare Systems, LLC
$1.70Published rateCrystal Run Healthcare Physicians LLP
Crystal Run Healthcare Physicians, LLP
$0.86Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4258 vs. Other Other Supplies Including Diabetes Supplies and Contraceptives Codes
The HCPCS A4258 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 A4258 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 |
|---|---|---|
| A4257-HCPCS | Low | Replacement lens shield cartridge for use with laser skin piercing device, each |
| A4258-HCPCS | Low | Spring-powered device for lancet, each |
| A4259-HCPCS | Low | Lancets, per box of 100 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4258. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4258 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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