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See a sample rate comparisonHCPCS A5122 Fee Schedule
HCPCS A5122 is classified under Medical And Surgical Supplies, in the Incontinence Devices and Supplies subgroup.
Skin barrier; solid, 8 x 8 or equivalent, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $14.64 median of the 7 states in the free preview · View Medicaid rates for A5122 |
National average reimbursement for HCPCS A5122 by major payers:
$14.67
BCBS / Anthem
$9.15
UnitedHealthcare
$11.59
Aetna
$20.58
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A5122.
HCPCS A5122
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$30.29Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$11.47Published rateMichael Koch
Chestatee Pathology Associates PC
$8.94Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$8.35Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$5.73Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5122 vs. Other Incontinence Devices and Supplies Codes
The table lists codes related to A5122. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A5121-HCPCS | Low | Skin barrier; solid, 6 x 6 or equivalent, each |
| A5122-HCPCS | Low | Skin barrier; solid, 8 x 8 or equivalent, each |
| A5126-HCPCS | Low | Adhesive or non-adhesive; disk or foam pad |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5122. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5122 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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