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See a sample rate comparisonHCPCS A4596 Fee Schedule
HCPCS A4596 is classified under Medical And Surgical Supplies, in the Various Medical Supplies Including Tapes and Surgical Dressings subgroup.
Cranial electrotherapy stimulation (ces) system supplies and accessories, per month
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Various Medical Supplies Including Tapes and Surgical Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $32.86 median of the 3 states in the free preview · View Medicaid rates for A4596 |
National average reimbursement for HCPCS A4596 by major payers:
$47.76
BCBS / Anthem
$24.58
UnitedHealthcare
$30.38
Aetna
$41.21
Cigna
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HCPCS A4596
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$77.55Published rateKelly Ridges
Allergy & Asthma Of Dupage, S.C.
$42.84Published rateTift Regional Health System Inc., Tift Regional Medical Center
Tift Regional Health System Inc
$31.72Published rateUpson County Hospital Inc, Upson Regional Medical Center
Upson County Hospital Inc
$21.14Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$17.34Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4596 vs. Other Various Medical Supplies Including Tapes and Surgical Dressings Codes
The table lists codes related to A4596. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4595-HCPCS | Low | Electrical stimulator supplies, 2 lead, per month, (e.g., TENS, NMES) |
| A4596-HCPCS | Low | Cranial electrotherapy stimulation (ces) system supplies and accessories, per month |
| A4600-HCPCS | Low | Sleeve for intermittent limb compression device, replacement only, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4596. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4596 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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