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See a sample rate comparisonHCPCS A6199 Fee Schedule
HCPCS A6199 is classified under Medical And Surgical Supplies, in the Miscellaneous Dressing and Wound Supplies subgroup.
Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Miscellaneous Dressing and Wound Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $6.935 median of the 8 states in the free preview · View Medicaid rates for A6199 |
National average reimbursement for HCPCS A6199 by major payers:
$5.86
BCBS / Anthem
$3.94
UnitedHealthcare
$5.03
Aetna
$8.71
Cigna
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HCPCS A6199
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$12.89Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$4.90Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$3.73Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$3.44Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$2.35Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6199 vs. Other Miscellaneous Dressing and Wound Supplies Codes
The table lists codes related to A6199. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6198-HCPCS | Low | Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing |
| A6199-HCPCS | Low | Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
| A6203-HCPCS | Low | Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, 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 A6199. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6199 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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