Rate Benchmarking
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See a sample rate comparisonHCPCS A6412 Fee Schedule
HCPCS A6412 is classified under Medical And Surgical Supplies, in the Other Dressings, Coverings, and Wound Treatment Supplies subgroup.
Eye patch, occlusive, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Other Dressings, Coverings, and Wound Treatment Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $0.43 median of the 7 states in the free preview · View Medicaid rates for A6412 |
National average reimbursement for HCPCS A6412 by major payers:
$1.39
BCBS / Anthem
$0.27
UnitedHealthcare
$0.27
Aetna
$3.64
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A6412.
HCPCS A6412
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$0.95Published rateHamilton Medical Center, Inc.
Hamilton Medical Center Inc
$0.31Published rateJacob Holloway
$0.21Published rateLower Oconee Community Hospital Inc
$0.20Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$0.12Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6412 vs. Other Other Dressings, Coverings, and Wound Treatment Supplies Codes
The table lists codes related to A6412. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6411-HCPCS | Low | Eye pad, non-sterile, each |
| A6412-HCPCS | Low | Eye patch, occlusive, each |
| A6413-HCPCS | Low | Adhesive bandage, first-aid type, any size, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6412. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6412 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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