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See a sample rate comparisonHCPCS A6509 Fee Schedule
HCPCS A6509 is classified under Medical And Surgical Supplies, in the Compression Garments and Stockings subgroup.
Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Compression Garments and Stockings |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $243.48 median of the 2 states in the free preview · View Medicaid rates for A6509 |
National average reimbursement for HCPCS A6509 by major payers:
$349.97
BCBS / Anthem
$85.51
UnitedHealthcare
$16.78
Aetna
$202.92
Cigna
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HCPCS A6509
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6509 vs. Other Compression Garments and Stockings Codes
The table lists codes related to A6509. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6508-HCPCS | Moderate | Compression burn garment, foot to thigh length, custom fabricated |
| A6509-HCPCS | Moderate | Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated |
| A6510-HCPCS | Moderate | Compression burn garment, trunk, including arms down to leg openings (leotard), 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 A6509. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6509 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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