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See a sample rate comparisonHCPCS A6261 Fee Schedule
HCPCS A6261 is classified under Medical And Surgical Supplies, in the Other Dressings, Coverings, and Wound Treatment Supplies subgroup.
Wound filler, gel/paste, per fluid ounce, not otherwise specified
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Other Dressings, Coverings, and Wound Treatment Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $4.61 median of the 5 states in the free preview · View Medicaid rates for A6261 |
National average reimbursement for HCPCS A6261 by major payers:
$11.74
BCBS / Anthem
$2.12
UnitedHealthcare
$3.58
Aetna
$27.22
Cigna
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HCPCS A6261
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$7.57Published rateAtl Colorectal Surgery
$4.11Published ratePalmyra Park Hospital, Inc., Palmyra Medical Centers
$1.94Published rateKamran Rajaee
$1.73Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$1.02Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6261 vs. Other Other Dressings, Coverings, and Wound Treatment Supplies Codes
The table lists codes related to A6261. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6260-HCPCS | Low | Wound cleansers, any type, any size |
| A6261-HCPCS | Low | Wound filler, gel/paste, per fluid ounce, not otherwise specified |
| A6262-HCPCS | Low | Wound filler, dry form, per gram, not otherwise specified |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6261. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6261 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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