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See a sample rate comparisonHCPCS A4556 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.
Electrodes, (e.g., apnea monitor), per pair
| 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 A4556 |
National average reimbursement for HCPCS A4556 by major payers:
$12.54
$8.58
$10.33
$17.19
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HCPCS A4556
5 of 25 sample ratesHigher to lower in this preview
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
$24.35Published rateSola Kim
Lowcountry Lung Critical Care PA
$8.67Published rateNavicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
$7.88Published rateKayla Hanks
Lowcountry Lung Critical Care PA
$6.00Published rateRyan Lok
Lowcountry Lung Critical Care PA
$6.00Published rate
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See a sample payer proposalHCPCS A4556 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes
The HCPCS A4556 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 A4556 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 |
|---|---|---|
| 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 |
| A4557-HCPCS | Low | Lead wires, (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 A4556. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4556 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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