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See a sample rate comparisonHCPCS A6403 Fee Schedule
HCPCS A6403 is classified under Medical And Surgical Supplies, in the Other Dressings, Coverings, and Wound Treatment Supplies subgroup.
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without 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 | $0.495 median of the 8 states in the free preview · View Medicaid rates for A6403 |
National average reimbursement for HCPCS A6403 by major payers:
$0.48
BCBS / Anthem
$0.32
UnitedHealthcare
$0.40
Aetna
$0.79
Cigna
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HCPCS A6403
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1.08Published rateChu Chen
$0.56Published rateHospital Authority Of Mitchell County, Mitchell County Hospital
Hospital Authority Of Mitchell County
$0.28Published rateDodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
$0.28Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$0.18Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6403 vs. Other Other Dressings, Coverings, and Wound Treatment Supplies Codes
The table lists codes related to A6403. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6402-HCPCS | Low | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
| A6403-HCPCS | Low | Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing |
| A6404-HCPCS | Low | Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without 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 A6403. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6403 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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