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See a sample rate comparisonHCPCS A4542 Fee Schedule
HCPCS A4542 is classified under Medical And Surgical Supplies, in the Various Medical Supplies Including Tapes and Surgical Dressings subgroup.
Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Various Medical Supplies Including Tapes and Surgical Dressings |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $403.37 median of the 5 states in the free preview · View Medicaid rates for A4542 |
National average reimbursement for HCPCS A4542 by major payers:
$450.99
BCBS / Anthem
$381.25
UnitedHealthcare
$482.62
Aetna
$867.42
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4542.
HCPCS A4542
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$960.72Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$403.52Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$308.73Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$302.64Published rateDevon Daney
Aztec Urgent Care LLC
$257.25Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4542 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes
| Code | Complexity | Description |
|---|---|---|
| A4542-HCPCS | Moderate | Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4542. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4542 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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