HCPCS A4550 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Medical And Surgical Supplies • Various Medical Supplies Including Tapes and Surgical Dressings |
| Complexity Level | Low |
National average reimbursement for HCPCS A4550 by major payers:

$37.99

$15.55

$15.60

$25.66
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS A4550 | ||||||
United | A4550 | $12.13 | 1124318795 - WILLIAM TOOLE | 10858704 - (FL) FORT PIERCE ORTHOPAEDICS LLC | FL | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | A4550 | $13.81 | 1275642449 - ROBERT HUTCHISON | 831744762 - (NJ) SYRACUSE MEDICAL LLC | FL | Podiatrist (213E00000X) |
United | A4550 | $14.52 | 1154383701 - GARY CORRENTI | 650771162 - (FL) THE SYPERT INSTITUTE, P.A. | FL | Neurological Surgery Physician (207T00000X) |
United | A4550 | $12.55 | 1912112384 - CHRISTIAAN MAMCZAK | 592929608 - (FL) MUSCULOSKELETAL INSTITUTE INC. FLORIDA ORTHOPAEDIC INSTITUTE | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | A4550 | $12.85 | 1386610327 - JAMES DIVINCENZO | 650079126 - (FL) SAMMY DIVINCENZO PA | FL | Podiatrist (213E00000X) |
United | A4550 | $10.89 | 1144847104 - JNC PODIATRY LLC | 851603487 - (FL) JNC PODIATRY LLC | FL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | A4550 | $11.27 | 1720037138 - PREFERRED PODIATRY GROUP PC | 363885637 - PREFERRED PODIATRY GROUP, P.C. | FL | Podiatrist (213E00000X) |
United | A4550 | $13.31 | 1407296486 - SHAWN BOOMSMA | 592579938 - UNIVERSITY OF MIAMI | FL | Orthopaedic Trauma Physician (207XX0801X) |
United | A4550 | $13.76 | 1245785690 - JESUS GARCIA | 591741273 - (FL) FAMILY HEALTH CENTERS OF SOUTHWEST FLORIDA INC | FL | Podiatrist (213E00000X) |
United | A4550 | $12.56 | 1902857352 - SACRED HEART HEALTH SYSTEM, INC., ASCENSION MEDICAL GROUP SACRED HEART SUB SPECIALISTS | 900036572 | FL | Neurological Surgery Physician (207T00000X) |
United | A4550 | $12.77 | 1336708650 - TORI BREITENBACH | 264262681 - (TN) GATEWAY FOOT AND ANKLE CENTER | IL | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | A4550 | $51.09 | 1770116253 - RODRIGO NAVARRO RAMIREZ | 131623978 | FL | Neurological Surgery Physician (207T00000X) |
United | A4550 | $13.19 | 1649228719 - MICHAEL STURM | 650429853 | FL | Podiatrist (213E00000X) |
United | A4550 | $12.85 | 1134114432 - MICHAEL CHAPARRO | 204321527 - (FL) MICHAEL J CHAPARRO MD PA | FL | Neurological Surgery Physician (207T00000X) |
United | A4550 | $21.54 | 1205196953 - BRIAN SINDELAR | 990322406 - KAPIOLANI MEDICAL SPECIALISTS | NC | Neurological Surgery Physician (207T00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS A4550 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes
The HCPCS A4550 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 A4550 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 |
|---|---|---|
| A4520-HCPCS | Low | Incontinence garment, any type, (e.g., brief, diaper), each |
| A4550-HCPCS | Low | Surgical trays |
| A4553-HCPCS | Low | Non-disposable underpads, all sizes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4550. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4550 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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