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See a sample rate comparisonHCPCS A6154 Fee Schedule
HCPCS A6154 is classified under Medical And Surgical Supplies, in the Miscellaneous Dressing and Wound Supplies subgroup.
Wound pouch, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Miscellaneous Dressing and Wound Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $18.885 median of the 8 states in the free preview · View Medicaid rates for A6154 |
National average reimbursement for HCPCS A6154 by major payers:
$16.80
BCBS / Anthem
$10.64
UnitedHealthcare
$13.80
Aetna
$23.65
Cigna
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HCPCS A6154
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$36.76Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$12.84Published rateFloyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
$10.02Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$9.35Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$5.67Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6154 vs. Other Miscellaneous Dressing and Wound Supplies Codes
The table lists codes related to A6154. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6025-HCPCS | Low | Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each |
| A6154-HCPCS | Low | Wound pouch, each |
| A6196-HCPCS | Low | Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6154. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6154 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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