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See a sample rate comparisonHCPCS A6258 Fee Schedule
HCPCS A6258 is classified under Medical And Surgical Supplies, in the Other Dressings, Coverings, and Wound Treatment Supplies subgroup.
Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Other Dressings, Coverings, and Wound Treatment Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $5.605 median of the 8 states in the free preview · View Medicaid rates for A6258 |
National average reimbursement for HCPCS A6258 by major payers:
$4.98
BCBS / Anthem
$3.21
UnitedHealthcare
$4.09
Aetna
$7.12
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A6258.
HCPCS A6258
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$11.19Published rateHospital Authority Of Valdosta And Lowndes County Georgia, South Georgia Medical Center
Hospital Authority Of Valdosta And Lowndes County Georgia
$3.00Published rateStephens County Hospital Authority
$2.79Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$2.79Published rateKristina Jimenez
Miguel A Arenas Md PC
$1.70Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6258 vs. Other Other Dressings, Coverings, and Wound Treatment Supplies Codes
The table lists codes related to A6258. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A6259-HCPCS | Low | Transparent film, sterile, more than 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 A6258. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6258 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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