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See a sample rate comparisonHCPCS A4455 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.
Adhesive remover or solvent (for tape, cement or other adhesive), per ounce
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Various Medical Supplies Including Tapes and Surgical Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4455 |
National average reimbursement for HCPCS A4455 by major payers:
$1.68
$1.04
$1.41
$2.02
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HCPCS A4455
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$3.65Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$2.30Published rateMichael Koch
Chestatee Pathology Associates PC
$1.00Published rateNortheast Georgia Medical Center, Inc.
Gainesville Radiology Group
$0.85Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$0.66Published rate
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See a sample payer proposalHCPCS A4455 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes
The HCPCS A4455 code is part of the Medical And Surgical Supplies services used for Various Medical Supplies Including Tapes and Surgical Dressings. 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 A4455 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 |
|---|---|---|
| A4453-HCPCS | Low | Rectal catheter with or without balloon, for use with any type transanal irrigation system, each |
| A4455-HCPCS | Low | Adhesive remover or solvent (for tape, cement or other adhesive), per ounce |
| A4456-HCPCS | Low | Adhesive remover, wipes, any type, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4455. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4455 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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