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HCPCS A6247 Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
Key FactDetail
Service Type

Medical And Surgical Supplies

Hydrogel Dressings

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for A6247

National average reimbursement for HCPCS A6247 by major payers:

bcbs

$28.19

uhc

$17.70

aetna

$22.54

cigna

$39.44

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS A6247.

HCPCS A6247
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $60.79Published rate
  2. Victoria Lewis-Holland

    GAGeneral Acute Care HospitalNPI 1487721718Tax ID 58-6011888

    $24.96Published rate
  3. Meriwether Healthcare, L.L.C., Warm Springs Medical Center

    Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center

    GACritical Access HospitalNPI 1972731800Tax ID 87-0764535

    $16.57Published rate
  4. Hospital Authority Of Jenkins County

    Hospital Authority Of Jenkins County Dba Jenkins County Medical Center

    GACritical Access HospitalNPI 1760452098Tax ID 58-1158547

    $15.46Published rate
  5. Borbas Surgical Supply, Inc

    Borbas Surgical Supply Inc

    NYDurable Medical Equipment & Medical SuppliesNPI 1134259328Tax ID 11-3568895

    $10.60Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS A6247 vs. Other Hydrogel Dressings Codes

The HCPCS A6247 code is part of the Medical And Surgical Supplies services used for Hydrogel Dressings. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS A6247 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
A6246-HCPCSLowHydrogel 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
A6247-HCPCSLowHydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
A6248-HCPCSLowHydrogel dressing, wound filler, gel, per fluid ounce

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6247. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A6247 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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