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See a sample rate comparisonHCPCS A6209 Fee Schedule
HCPCS A6209 is classified under Medical And Surgical Supplies, in the Foam Dressings subgroup.
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Foam Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $9.215 median of the 8 states in the free preview · View Medicaid rates for A6209 |
National average reimbursement for HCPCS A6209 by major payers:
$8.29
BCBS / Anthem
$5.57
UnitedHealthcare
$7.03
Aetna
$12.27
Cigna
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HCPCS A6209
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$19.10Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$12.02Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$7.13Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$4.98Published rateDevon Daney
Aztec Urgent Care LLC
$4.09Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6209 vs. Other Foam Dressings Codes
The table lists codes related to A6209. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6208-HCPCS | Low | Contact layer, sterile, more than 48 sq. in., each dressing |
| A6209-HCPCS | Low | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
| A6210-HCPCS | Low | Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without 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 A6209. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6209 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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