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See a sample rate comparisonHCPCS A4559 Fee Schedule
HCPCS A4559 is classified under Medical And Surgical Supplies, in the Various Medical Supplies Including Tapes and Surgical Dressings subgroup.
Coupling gel or paste, for use with ultrasound device, per oz
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Various Medical Supplies Including Tapes and Surgical Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $0.115 median of the 6 states in the free preview · View Medicaid rates for A4559 |
National average reimbursement for HCPCS A4559 by major payers:
$0.14
BCBS / Anthem
$0.08
UnitedHealthcare
$0.20
Aetna
$0.21
Cigna
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HCPCS A4559
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$0.24Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Physician Group Inc
$0.11Published rateLower Oconee Community Hospital Inc
$0.07Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$0.07Published rateEmory Healthcare
Cardiac Arrhythmia Institute
$0.05Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4559 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes
The table lists codes related to A4559. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4558-HCPCS | Low | Conductive gel or paste, for use with electrical device (e.g., TENS, NMES), per oz |
| A4559-HCPCS | Low | Coupling gel or paste, for use with ultrasound device, per oz |
| A4560-HCPCS | Low | Neuromuscular electrical stimulator (nmes), disposable, replacement only |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4559. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4559 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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