HCPCS A6449 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Medical And Surgical Supplies • Bandages |
| Complexity Level | Low |
National average reimbursement for HCPCS A6449 by major payers:
$1.94
$1.31
$1.58
$2.79
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS A6449 | ||||||
United | A6449 | $1.03 | 1548260482 - MAIN LINE PATHOLOGY ASSOCIATES, PC | 232786651 - (PA) MAIN LINE PATHOLOGY ASSOCIATES, P.C | PA | Clinical Pathology/Laboratory Medicine Physician (207ZP0105X) |
United | A6449 | $0.81 | 1255503686 - KIMBERLY HURLEY | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Foot & Ankle Surgery Podiatrist (213ES0103X) |
United | A6449 | $0.81 | 1912955915 - JOHN PICANO | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | A6449 | $1.50 | 1841577509 - ANNA COLLINS | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | A6449 | $1.50 | 1174511315 - RALPH LOTT | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Optometrist (152W00000X) |
United | A6449 | $0.81 | 1134110281 - NAJMUS SAQIB | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | A6449 | $1.50 | 1578874459 - ELAINE TSUKAYAMA | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Pediatrics Physician (208000000X) |
United | A6449 | $0.81 | 1629738422 - KASSANDRA GIGLIO | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | A6449 | $0.81 | 1447543673 - WILLIAM GAETANO | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Medicine Physician (207Q00000X) |
United | A6449 | $0.81 | 1972938900 - JEFFREY KWASNIEWSKI | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | A6449 | $0.81 | 1093976847 - CATHERINE DOCOUS | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Physician Assistant (363A00000X) |
United | A6449 | $0.81 | 1912955915 - JOHN PICANO | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Diagnostic Radiology Physician (2085R0202X) |
United | A6449 | $0.81 | 1437291689 - MOHSIN SYED | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Internal Medicine Physician (207R00000X) |
United | A6449 | $0.81 | 1669841375 - JULIA BRAMLEY | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Audiologist (231H00000X) |
United | A6449 | $0.81 | 1982043386 - AILEEN CALLAN | 200362623 - SLOCUM DICKSON MEDICAL GROUP PLLC | NY | Family Nurse Practitioner (363LF0000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS A6449 vs. Other Bandages Codes
The HCPCS A6449 code is part of the Medical And Surgical Supplies services used for Bandages. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A6449 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A6448-HCPCS | Low | Light compression bandage, elastic, knitted/woven, width less than 3 inches, per yard |
| A6449-HCPCS | Low | Light compression bandage, elastic, knitted/woven, width greater than or equal to 3 inches and less than 5 inches, per yard |
| A6450-HCPCS | Low | Light compression bandage, elastic, knitted/woven, width greater than or equal to 5 inches, per yard |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6449. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6449 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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