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HCPCS A4490 Fee Schedule

HCPCS A4490 is classified under Medical And Surgical Supplies, in the Various Medical Supplies Including Tapes and Surgical Dressings subgroup.

Surgical stockings above knee length, each
Key FactDetail
Service Type

Medical And Surgical Supplies

Various Medical Supplies Including Tapes and Surgical Dressings

Complexity LevelLow
Medicaid Fee Schedule$41.57 median of the 8 states in the free preview · View Medicaid rates for A4490

National average reimbursement for HCPCS A4490 by major payers:

BCBS / Anthem logo

$17.50

BCBS / Anthem

UnitedHealthcare logo

$3.49

UnitedHealthcare

Aetna logo

$4.09

Aetna

Cigna logo

$13.66

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS A4490.

HCPCS A4490
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $12.30Published rate
  2. Emory Crawford Long Hospital

    Emory University

    GAGeneral Acute Care HospitalNPI 1225281603Tax ID 58-1537752

    $7.07Published rate
  3. Jasper Health Services, Inc., Jasper Memorial Hospital

    Jasper Health Services Inc

    GACritical Access HospitalNPI 1225031750Tax ID 58-2510435

    $4.01Published rate
  4. Dodge County Hospital Authority, Dodge County Hospital

    Dodge County Hospital Authority

    GARural Acute Care HospitalNPI 1740272095Tax ID 58-0625140

    $2.80Published rate
  5. Good Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital

    Good Samaritan Hospital Inc

    GACritical Access HospitalNPI 1346209137Tax ID 26-1720984

    $1.87Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS A4490 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes

The table lists codes related to A4490. Select one to see its fee schedule.

CodeComplexityDescription
A4483-HCPCSLowMoisture exchanger, disposable, for use with invasive mechanical ventilation
A4490-HCPCSLowSurgical stockings above knee length, each
A4495-HCPCSLowSurgical stockings thigh length, each

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4490. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A4490 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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