HCPCS A4557 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 A4557 by major payers:
$12.44
$11.54
$12.24
$14.55
| 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 A4557 | ||||||
United | A4557 | $29.25 | 1073502985 - CHU CHEN | 42484572 | MA | Pediatrics Physician (208000000X) |
United | A4557 | $6.19 | 1902806011 - KARL MILLER | 570978524 - (SC) LOWCOUNTRY LUNG CRITICAL CARE PA | SC | Pulmonary Disease Physician (207RP1001X) |
United | A4557 | $17.72 | 1659371755 - DAVID HANDSHOE | 570978524 - (SC) LOWCOUNTRY LUNG CRITICAL CARE PA | SC | Pulmonary Disease Physician (207RP1001X) |
United | A4557 | $17.72 | 1962737684 - LAUREN DAVIS | 570978524 - (SC) LOWCOUNTRY LUNG CRITICAL CARE PA | SC | Medical Physician Assistant (363AM0700X) |
United | A4557 | $17.72 | 1740280841 - THOMAS KAELIN | 570978524 - (SC) LOWCOUNTRY LUNG CRITICAL CARE PA | SC | Pulmonary Disease Physician (207RP1001X) |
United | A4557 | $6.19 | 1942884440 - JOY GETER | 570978524 - (SC) LOWCOUNTRY LUNG CRITICAL CARE PA | SC | Acute Care Nurse Practitioner (363LA2100X) |
United | A4557 | $6.19 | 1548540578 - EMERALD ROSE BRANCH | 570978524 - (SC) LOWCOUNTRY LUNG CRITICAL CARE PA | SC | Internal Medicine Physician (207R00000X) |
United | A4557 | $10.57 | 1548540578 - EMERALD ROSE BRANCH | 570978524 - (SC) LOWCOUNTRY LUNG CRITICAL CARE PA | SC | Internal Medicine Physician (207R00000X) |
United | A4557 | $6.19 | 1548460744 - LESLIE WILKE | 570978524 - (SC) LOWCOUNTRY LUNG CRITICAL CARE PA | SC | Pulmonary Disease Physician (207RP1001X) |
United | A4557 | $6.19 | 1851771786 - RYAN LOK | 570978524 - (SC) LOWCOUNTRY LUNG CRITICAL CARE PA | IN | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | A4557 | $17.72 | 1851771786 - RYAN LOK | 570978524 - (SC) LOWCOUNTRY LUNG CRITICAL CARE PA | IN | Critical Care Medicine (Internal Medicine) Physician (207RC0200X) |
United | A4557 | $17.72 | 1013986017 - LOWCOUNTRY LUNG & CRITICAL CARE PA | 570978524 - (SC) LOWCOUNTRY LUNG CRITICAL CARE PA | SC | Specialist (174400000X) |
United | A4557 | $17.72 | 1548460744 - LESLIE WILKE | 570978524 - (SC) LOWCOUNTRY LUNG CRITICAL CARE PA | SC | Pulmonary Disease Physician (207RP1001X) |
United | A4557 | $6.19 | 1548460744 - LESLIE WILKE | 570978524 - (SC) LOWCOUNTRY LUNG CRITICAL CARE PA | SC | Pulmonary Disease Physician (207RP1001X) |
United | A4557 | $14.06 | 1639486160 - JARED INTAPHAN | 570978524 - (SC) LOWCOUNTRY LUNG CRITICAL CARE PA | SC | Pulmonary Disease Physician (207RP1001X) |
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 A4557 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes
The HCPCS A4557 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 A4557 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 |
|---|---|---|
| A4556-HCPCS | Low | Electrodes, (e.g., apnea monitor), per pair |
| A4557-HCPCS | Low | Lead wires, (e.g., apnea monitor), per pair |
| A4558-HCPCS | Low | Conductive gel or paste, for use with electrical device (e.g., TENS, NMES), per oz |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4557. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4557 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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