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See a sample rate comparisonHCPCS A6454 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.
Self-adherent bandage, elastic, non-knitted/non-woven, 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 A6454 |
National average reimbursement for HCPCS A6454 by major payers:
$0.87
$0.59
$0.73
$0.86
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HCPCS A6454
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$2.04Published rateAsya Segalene
Allergy & Asthma Of Dupage, S.C.
$1.08Published rateJacob Holloway
$0.55Published rateDonalsonville Hospital Inc
$0.50Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$0.36Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6454 vs. Other Bandages Codes
The HCPCS A6454 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 A6454 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 |
|---|---|---|
| A6453-HCPCS | Low | Self-adherent bandage, elastic, non-knitted/non-woven, width less than 3 inches, per yard |
| A6454-HCPCS | Low | Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to 3 inches and less than 5 inches, per yard |
| A6455-HCPCS | Low | Self-adherent bandage, elastic, non-knitted/non-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 A6454. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6454 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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