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See a sample rate comparisonHCPCS A4490 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.
Surgical stockings above knee length, each
| 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 A4490 |
National average reimbursement for HCPCS A4490 by major payers:
$17.50
$3.49
$4.09
$13.66
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HCPCS A4490
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$12.30Published rateEmory Crawford Long Hospital
Emory University
$7.07Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$4.01Published rateDodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
$2.80Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$1.87Published rate
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See a sample payer proposalHCPCS A4490 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes
The HCPCS A4490 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 A4490 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 |
|---|---|---|
| A4483-HCPCS | Low | Moisture exchanger, disposable, for use with invasive mechanical ventilation |
| A4490-HCPCS | Low | Surgical stockings above knee length, each |
| A4495-HCPCS | Low | Surgical 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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