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See a sample rate comparisonHCPCS A6238 Fee Schedule
HCPCS A6238 is classified under Medical And Surgical Supplies, in the Hydrocolloid Dressings subgroup.
Hydrocolloid 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 Hydrocolloid Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $27.66 median of the 8 states in the free preview · View Medicaid rates for A6238 |
National average reimbursement for HCPCS A6238 by major payers:
$25.62
BCBS / Anthem
$16.95
UnitedHealthcare
$21.71
Aetna
$37.44
Cigna
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HCPCS A6238
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$58.28Published rateChristopher Raio
St Joseph Hospital
$26.49Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$15.89Published rateEmory Healthcare
$13.51Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$10.60Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6238 vs. Other Hydrocolloid Dressings Codes
The table lists codes related to A6238. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6237-HCPCS | Low | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
| A6238-HCPCS | Low | Hydrocolloid 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 |
| A6239-HCPCS | Low | Hydrocolloid 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 A6238. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6238 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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