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HCPCS A4495 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 thigh length, each
Key FactDetail
Service Type

Medical And Surgical Supplies

Various Medical Supplies Including Tapes and Surgical Dressings

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for A4495

National average reimbursement for HCPCS A4495 by major payers:

bcbs

$30.13

uhc

$3.50

aetna

$4.10

cigna

$5.52

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS A4495.

HCPCS A4495
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. Ujuka Iloabuchi

    Gwinnett Obgyn Associates Of Georgia LLC

    GAWomen's HospitalNPI 1306136551Tax ID 47-4870066

    $6.67Published rate
  3. Hospital Authority Of Ben Hill, Dorminy Medical Center

    GARural Acute Care HospitalNPI 1245248624Tax ID 58-1157005

    $3.01Published rate
  4. Chi Memorial Hospital

    Chi Memorial Hospital - Georgia

    GAGeneral Acute Care HospitalNPI 1356860621Tax ID 82-2748395

    $2.80Published rate
  5. Hospital Authority Of Liberty County, Liberty Regional Medical Center

    GACritical Access HospitalNPI 1326079260Tax ID 58-6025016

    $2.79Published rate

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

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HCPCS A4495 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes

The HCPCS A4495 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 A4495 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.

CodeComplexityDescription
A4490-HCPCSLowSurgical stockings above knee length, each
A4495-HCPCSLowSurgical stockings thigh length, each
A4500-HCPCSLowSurgical stockings below knee 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 A4495. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A4495 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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