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See a sample rate comparisonHCPCS A6213 Fee Schedule
HCPCS A6213 is classified under Medical And Surgical Supplies, in the Foam Dressings subgroup.
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Foam Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $12.215 median of the 8 states in the free preview · View Medicaid rates for A6213 |
National average reimbursement for HCPCS A6213 by major payers:
$12.93
BCBS / Anthem
$11.30
UnitedHealthcare
$11.26
Aetna
$14.75
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A6213.
HCPCS A6213
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$38.81Published ratePhoebe Worth Medical Center, Inc, Phoebe Worth Medical Center, Inc
Phoebe Worth Medical Center Inc
$17.62Published rateColquitt Regional Medical Center
$12.88Published rateMeriwether County Hospital Authority, Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$9.28Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$7.01Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6213 vs. Other Foam Dressings Codes
The table lists codes related to A6213. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6212-HCPCS | Low | Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
| A6213-HCPCS | Low | Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
| A6214-HCPCS | Low | Foam dressing, wound cover, sterile, pad size more than 48 sq. in., 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 A6213. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6213 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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