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See a sample rate comparisonHCPCS A6215 Fee Schedule
HCPCS A6215 is classified under Medical And Surgical Supplies, in the Foam Dressings subgroup.
Foam dressing, wound filler, sterile, per gram
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Foam Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $2.12 median of the 7 states in the free preview · View Medicaid rates for A6215 |
National average reimbursement for HCPCS A6215 by major payers:
$8.06
BCBS / Anthem
$39.48
UnitedHealthcare
$4.37
Aetna
$7.06
Cigna
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HCPCS A6215
2 of 2 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$2.72Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$2.72Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6215 vs. Other Foam Dressings Codes
The table lists codes related to A6215. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6214-HCPCS | Low | Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing |
| A6215-HCPCS | Low | Foam dressing, wound filler, sterile, per gram |
| A6216-HCPCS | Low | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, 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 A6215. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6215 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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