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See a sample rate comparisonHCPCS A6231 Fee Schedule
HCPCS A6231 is classified under Medical And Surgical Supplies, in the Gauze Dressings subgroup.
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Gauze Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $6.16 median of the 8 states in the free preview · View Medicaid rates for A6231 |
National average reimbursement for HCPCS A6231 by major payers:
$5.40
BCBS / Anthem
$3.48
UnitedHealthcare
$4.34
Aetna
$7.90
Cigna
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HCPCS A6231
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$11.95Published rateAtl Colorectal Surgery
$7.38Published rateCarson Medical Group Professional Corporation
Carson Medical Group
$3.98Published rateDonalsonville Hospital Inc
$3.03Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$2.08Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6231 vs. Other Gauze Dressings Codes
The table lists codes related to A6231. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6230-HCPCS | Low | Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
| A6231-HCPCS | Low | Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing |
| A6232-HCPCS | Low | Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., 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 A6231. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6231 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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