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See a sample rate comparisonHCPCS A6247 Fee Schedule
HCPCS A6247 is classified under Medical And Surgical Supplies, in the Hydrogel Dressings subgroup.
Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Hydrogel Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $28.845 median of the 8 states in the free preview · View Medicaid rates for A6247 |
National average reimbursement for HCPCS A6247 by major payers:
$28.19
BCBS / Anthem
$17.70
UnitedHealthcare
$22.54
Aetna
$39.44
Cigna
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HCPCS A6247
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$60.79Published rateVictoria Lewis-Holland
$24.96Published rateMeriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$16.57Published rateHospital Authority Of Jenkins County
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$15.46Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$10.60Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6247 vs. Other Hydrogel Dressings Codes
The table lists codes related to A6247. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A6247-HCPCS | Low | Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing |
| A6248-HCPCS | Low | Hydrogel 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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