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See a sample rate comparisonHCPCS A4555 Fee Schedule
HCPCS A4555 is classified under Medical And Surgical Supplies, in the Various Medical Supplies Including Tapes and Surgical Dressings subgroup.
Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only
| 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 A4555 by major payers:
$110.39
BCBS / Anthem
$54.00
UnitedHealthcare
$11.34
Aetna
$12.33
Cigna
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HCPCS A4555
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See a sample payer proposalHCPCS A4555 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes
The table lists codes related to A4555. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4554-HCPCS | Low | Disposable underpads, all sizes |
| A4555-HCPCS | Low | Electrode/transducer for use with electrical stimulation device used for cancer treatment, replacement only |
| A4556-HCPCS | Low | Electrodes, (e.g., apnea monitor), per pair |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4555. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4555 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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