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See a sample rate comparisonHCPCS A6254 Fee Schedule
HCPCS A6254 is classified under Medical And Surgical Supplies, in the Other Dressings, Coverings, and Wound Treatment Supplies subgroup.
Specialty absorptive 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 Other Dressings, Coverings, and Wound Treatment Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $1.45 median of the 8 states in the free preview · View Medicaid rates for A6254 |
National average reimbursement for HCPCS A6254 by major payers:
$1.39
BCBS / Anthem
$0.90
UnitedHealthcare
$1.14
Aetna
$2.00
Cigna
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HCPCS A6254
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$3.06Published rateThe Hospital Authority Of Monroe County, Georgia, Monroe County Hospital
The Hospital Authority Of Monroe County Georgia
$1.13Published rateSt. Francis Radiologists, LLC
$0.80Published rateProfessional Resources Management Of Rabun, LLC, Mountain Lakes Medical Center
$0.79Published rateKristina Jimenez
Miguel A Arenas Md PC
$0.46Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6254 vs. Other Other Dressings, Coverings, and Wound Treatment Supplies Codes
The table lists codes related to A6254. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6253-HCPCS | Low | Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
| A6254-HCPCS | Low | Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
| A6255-HCPCS | Low | Specialty absorptive 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 A6254. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6254 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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