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See a sample rate comparisonHCPCS A6531 Fee Schedule
HCPCS A6531 is classified under Medical And Surgical Supplies, in the Compression Garments and Stockings subgroup.
Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Compression Garments and Stockings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $53.27 median of the 7 states in the free preview · View Medicaid rates for A6531 |
National average reimbursement for HCPCS A6531 by major payers:
$43.83
BCBS / Anthem
$32.35
UnitedHealthcare
$33.80
Aetna
$53.90
Cigna
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HCPCS A6531
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$110.57Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Emory University
$102.05Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$38.61Published rateHospital Authority Of Candler County, Candler County Hospital
$28.89Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$19.30Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6531 vs. Other Compression Garments and Stockings Codes
The table lists codes related to A6531. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6530-HCPCS | Low | Gradient compression stocking, below knee, 18-30 mmHg, each |
| A6531-HCPCS | Low | Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each |
| A6532-HCPCS | Low | Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6531. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6531 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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