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See a sample rate comparisonHCPCS A6523 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.
Gradient compression garment, arm, padded, for nighttime use, custom, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Compression Garments and Stockings |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for A6523 |
National average reimbursement for HCPCS A6523 by major payers:
$617.77
$654.71
$659.63
$1,191.78
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HCPCS A6523
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,516.17Published ratePaulding Medical Center, Inc., Wellstar Paulding Hospital
Paulding Medical Center Inc
$447.95Published rateWillamette Community Health Solutions, Cascade Health Solutions
$413.50Published rateWillamette Community Health Solutions, Cascade Health Solutions
$413.50Published rateMichael Guillette
Aztec Urgent Care LLC
$413.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6523 vs. Other Compression Garments and Stockings Codes
The HCPCS A6523 code is part of the Medical And Surgical Supplies services used for Compression Garments and Stockings. 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 A6523 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 |
|---|---|---|
| A6523-HCPCS | Moderate | Gradient compression garment, arm, padded, for nighttime use, custom, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6523. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6523 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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