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See a sample rate comparisonHCPCS A6245 Fee Schedule
HCPCS A6245 is classified under Medical And Surgical Supplies, in the Hydrogel Dressings subgroup.
Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Hydrogel Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $8.82 median of the 8 states in the free preview · View Medicaid rates for A6245 |
National average reimbursement for HCPCS A6245 by major payers:
$8.49
BCBS / Anthem
$5.41
UnitedHealthcare
$7.08
Aetna
$11.85
Cigna
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HCPCS A6245
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$18.59Published rateChristopher Raio
St Francis Hospital
$8.45Published rateCarson Medical Group Professional Corporation
Carson Medical Group
$6.18Published rateHospital Authority Of Candler County, Candler County Hospital
$4.84Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$3.25Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6245 vs. Other Hydrogel Dressings Codes
The table lists codes related to A6245. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6244-HCPCS | Low | Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
| A6245-HCPCS | Low | Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
| A6246-HCPCS | Low | Hydrogel 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6245. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6245 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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