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See a sample rate comparisonHCPCS A6451 Fee Schedule
Last Verified: September 2026
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.
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 | View Medicaid rates for A6451 |
National average reimbursement for HCPCS A6451 by major payers:
$2.32
$1.35
$2.38
$2.83
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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 HCPCS A6451 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 A6451 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 |
|---|---|---|
| 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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