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See a sample rate comparisonHCPCS A6259 Fee Schedule
HCPCS A6259 is classified under Medical And Surgical Supplies, in the Other Dressings, Coverings, and Wound Treatment Supplies subgroup.
Transparent film, sterile, more than 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 | $13.265 median of the 8 states in the free preview · View Medicaid rates for A6259 |
National average reimbursement for HCPCS A6259 by major payers:
$12.62
BCBS / Anthem
$8.14
UnitedHealthcare
$10.41
Aetna
$18.15
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A6259.
HCPCS A6259
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$27.94Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$8.61Published rateMamta Mahajan
Orthopedic Specialists Of Sw Florida
$7.26Published rateLower Oconee Community Hospital Inc
$7.11Published rateChristopher Raio
St Francis Hospital
$4.57Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6259 vs. Other Other Dressings, Coverings, and Wound Treatment Supplies Codes
The table lists codes related to A6259. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A6260-HCPCS | Low | Wound cleansers, any type, any size |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6259. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6259 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.
FREE SAMPLE MARKET COMPARISON
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Bring your top codes (like HCPCS A6259) and we'll show you how you compare in 15 minutes or less.