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See a sample rate comparisonHCPCS A6257 Fee Schedule
HCPCS A6257 is classified under Medical And Surgical Supplies, in the Other Dressings, Coverings, and Wound Treatment Supplies subgroup.
Transparent film, sterile, 16 sq. in. or less, each dressing
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Other Dressings, Coverings, and Wound Treatment Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $1.855 median of the 8 states in the free preview · View Medicaid rates for A6257 |
National average reimbursement for HCPCS A6257 by major payers:
$1.66
BCBS / Anthem
$1.15
UnitedHealthcare
$1.46
Aetna
$2.41
Cigna
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HCPCS A6257
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$3.94Published rateIrwin County Hospital
$1.45Published ratePalmyra Park Hospital, Inc., Palmyra Medical Centers
$0.99Published rateLower Oconee Community Hospital Inc
$0.99Published rateDevon Daney
Aztec Urgent Care LLC
$0.83Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6257 vs. Other Other Dressings, Coverings, and Wound Treatment Supplies Codes
The table lists codes related to A6257. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6256-HCPCS | Low | Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing |
| A6257-HCPCS | Low | Transparent film, sterile, 16 sq. in. or less, each dressing |
| A6258-HCPCS | Low | Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., 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 A6257. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6257 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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