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See a sample rate comparisonHCPCS A6461 Fee Schedule
HCPCS A6461 is classified under Medical And Surgical Supplies, in the Bandages subgroup.
Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Bandages |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A6461 |
National average reimbursement for HCPCS A6461 by major payers:
$38.31
BCBS / Anthem
$N/A
UnitedHealthcare
$8.18
Aetna
$12.60
Cigna
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HCPCS A6461
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6461 vs. Other Bandages Codes
The table lists codes related to A6461. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6460-HCPCS | Low | Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
| A6461-HCPCS | Low | Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
| A6501-HCPCS | Moderate | Compression burn garment, bodysuit (head to foot), custom fabricated |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6461. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6461 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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