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See a sample rate comparisonHCPCS A6219 Fee Schedule
HCPCS A6219 is classified under Medical And Surgical Supplies, in the Gauze Dressings subgroup.
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Gauze Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $1.155 median of the 8 states in the free preview · View Medicaid rates for A6219 |
National average reimbursement for HCPCS A6219 by major payers:
$1.06
BCBS / Anthem
$0.72
UnitedHealthcare
$0.89
Aetna
$1.60
Cigna
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HCPCS A6219
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$2.44Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Physician Group Inc
$1.12Published rateUjuka Iloabuchi
$0.67Published rateChatuge Regional Hospital Inc
$0.62Published rateAlicia Encinas
Miguel A Arenas Md PC
$0.37Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6219 vs. Other Gauze Dressings Codes
The table lists codes related to A6219. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6218-HCPCS | Low | Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
| A6219-HCPCS | Low | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
| A6220-HCPCS | Low | Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 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 A6219. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6219 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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