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See a sample rate comparisonHCPCS A6451 Fee Schedule
HCPCS A6451 is classified under Medical And Surgical Supplies, in the Bandages subgroup.
Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to 3 inches and less than 5 inches, per yard
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Bandages |
| Complexity Level | Low |
| Medicaid Fee Schedule | $2.125 median of the 8 states in the free preview · View Medicaid rates for A6451 |
National average reimbursement for HCPCS A6451 by major payers:
$2.32
BCBS / Anthem
$1.35
UnitedHealthcare
$2.38
Aetna
$2.83
Cigna
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HCPCS A6451
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$4.49Published rateHamilton Medical Center, Inc.
Hamilton Medical Center Inc
$2.03Published rateAugusta Vamc
$1.54Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$1.22Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$0.82Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6451 vs. Other Bandages Codes
The table lists codes related to A6451. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6450-HCPCS | Low | Light compression bandage, elastic, knitted/woven, width greater than or equal to 5 inches, per yard |
| A6451-HCPCS | Low | Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to 3 inches and less than 5 inches, per yard |
| A6452-HCPCS | Low | High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to 3 inches and less than 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 A6451. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6451 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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