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HCPCS A6528 Fee Schedule

HCPCS A6528 is classified under Medical And Surgical Supplies, in the Compression Garments and Stockings subgroup.

Gradient compression garment, bra, for nighttime use, each
Key FactDetail
Service Type

Medical And Surgical Supplies

Compression Garments and Stockings

Complexity LevelModerate
Medicaid Fee Schedule$543.975 median of the 8 states in the free preview · View Medicaid rates for A6528

National average reimbursement for HCPCS A6528 by major payers:

BCBS / Anthem logo

$562.37

BCBS / Anthem

UnitedHealthcare logo

$598.50

UnitedHealthcare

Aetna logo

$602.99

Aetna

Cigna logo

$1,089.60

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS A6528.

HCPCS A6528
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $1,386.00Published rate
  2. Aztec Urgent Care, LLC

    Aztec Urgent Care LLC

    NMUrgent Care Clinic/CenterNPI 1063741163Tax ID 27-1495988

    $630.00Published rate
  3. Colquitt Regional Medical Center

    GAGeneral Acute Care HospitalNPI 1912099094Tax ID 58-0607088

    $409.50Published rate
  4. Screven County Hospital

    GACritical Access HospitalNPI 1245201094Tax ID 27-3100946

    $378.00Published rate
  5. Borbas Surgical Supply, Inc

    Borbas Surgical Supply Inc

    NYDurable Medical Equipment & Medical SuppliesNPI 1134259328Tax ID 11-3568895

    $315.00Published rate

National sample. Rates vary by location, specialty, and contract.

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Payer Contract Negotiation

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HCPCS A6528 vs. Other Compression Garments and Stockings Codes

CodeComplexityDescription
A6528-HCPCSModerateGradient compression garment, bra, for nighttime use, each

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6528. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A6528 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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