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HCPCS A4590 Fee Schedule

Last Verified: November 2025

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.

Special casting material (e.g., fiberglass)
Key FactDetail
Service Type

Medical And Surgical Supplies

Various Medical Supplies Including Tapes and Surgical Dressings

Complexity LevelLow

National average reimbursement for HCPCS A4590 by major payers:

bcbs

$38.35

uhc

$20.55

aetna

$21.10

cigna

$27.52

Preview provider-level rates for...
For billing codeHCPCS A4590
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS A4590

United
A4590$17.261275885063 - VINCENT SCHAUM651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA PAFLSurgical Physician Assistant (363AS0400X)
United
A4590$38.561306136551 - UJUKA ILOABUCHI881014763GAWomen's Hospital (282NW0100X)
United
A4590$10.011235153883 - WILDWOOD SANITARIUM, INCORPORATED, WILDWOOD LIFESTYLE CENTER AND HOSPITAL586039864 - (GA) WILDWOOD SANITARIUM INCORPORATEDGAGeneral Acute Care Hospital (282N00000X)
United
A4590$40.841255401519 - THE MEDICAL CENTER INC, PIEDMONT COLUMBUS REGIONAL MIDTOWN581685139 - (GA) THE MEDICAL CENTER INCGAGeneral Acute Care Hospital (282N00000X)
United
A4590$17.261811476856 - TARA ZARILLO651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA PAFLPhysical Therapist (225100000X)
United
A4590$16.881356860621 - CHI MEMORIAL HOSPITAL822748395 - CHI MEMORIAL HOSPITAL - GEORGIAGAGeneral Acute Care Hospital (282N00000X)
United
A4590$38.561760498588 - PIEDMONT NEWTON HOSPITAL, INC., NEWTON MEDICAL CENTER814475074 - (GA) PIEDMONT NEWTON HOSPITAL INCGAGeneral Acute Care Hospital (282N00000X)
United
A4590$17.641316938459 - NAVICENT HEALTH OCONEE, LLC, NAVICENT HEALTH BALDWIN582359398 - NAVICENT HEALTH OCONEE LLCGAGeneral Acute Care Hospital (282N00000X)
United
A4590$16.931790942381 - TATTNALL HOSPITAL COMPANY, LLC, OPTIM MEDICAL CENTER - TATTNALL300466706GACritical Access Hospital (282NC0060X)
United
A4590$26.001689736282 - THE HOSPITAL AUTHORITY OF HABERSHAM COUNTY586002961GARural Acute Care Hospital (282NR1301X)
United
A4590$23.341760452098 - HOSPITAL AUTHORITY OF JENKINS COUNTY273100894GACritical Access Hospital (282NC0060X)
United
A4590$17.261326041542 - ALLEN TAFEL651011457 - (FL) ORTHOPEDIC SPECIALISTS OF SW FLORIDA PAFLPain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X)
United
A4590$23.341861478851 - CLINCH COUNTY HOSPITAL AUTHORITY586011853 - (GA) CLINCH COUNTY HOSPITAL AUTHORITYGACritical Access Hospital (282NC0060X)
United
A4590$16.851306136551 - UJUKA ILOABUCHI582483738GAWomen's Hospital (282NW0100X)
United
A4590$11.231346209137 - GOOD SAMARITAN HOSPITAL, INC., ST. MARY'S GOOD SAMARITAN HOSPITAL261720984 - (GA) GOOD SAMARITAN HOSPITAL INCGACritical Access Hospital (282NC0060X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS A4590 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes

The HCPCS A4590 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 A4590 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.

CodeComplexityDescription
A4580-HCPCSLowCast supplies (e.g., plaster)
A4590-HCPCSLowSpecial casting material (e.g., fiberglass)
A4595-HCPCSLowElectrical stimulator supplies, 2 lead, per month, (e.g., TENS, NMES)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4590. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A4590 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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