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See a sample rate comparisonHCPCS A4452 Fee Schedule
HCPCS A4452 is classified under Medical And Surgical Supplies, in the Various Medical Supplies Including Tapes and Surgical Dressings subgroup.
Tape, waterproof, per 18 square inches
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Various Medical Supplies Including Tapes and Surgical Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $0.47 median of the 7 states in the free preview · View Medicaid rates for A4452 |
National average reimbursement for HCPCS A4452 by major payers:
$0.36
BCBS / Anthem
$0.30
UnitedHealthcare
$0.26
Aetna
$0.43
Cigna
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HCPCS A4452
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$0.99Published rateIrwin County Hospital
$0.37Published rateStuart Maccollom
Pinellas Medical Associates, PA
$0.27Published ratePalmyra Park Hospital, Inc., Palmyra Medical Centers
$0.25Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$0.18Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4452 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes
The table lists codes related to A4452. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4450-HCPCS | Low | Tape, non-waterproof, per 18 square inches |
| A4452-HCPCS | Low | Tape, waterproof, per 18 square inches |
| A4453-HCPCS | Low | Rectal catheter with or without balloon, for use with any type transanal irrigation system, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4452. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4452 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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