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See a sample rate comparisonHCPCS A6535 Fee Schedule
HCPCS A6535 is classified under Medical And Surgical Supplies, in the Compression Garments and Stockings subgroup.
Gradient compression stocking, thigh length, 40 mmhg or greater, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Compression Garments and Stockings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $70.23 median of the 7 states in the free preview · View Medicaid rates for A6535 |
National average reimbursement for HCPCS A6535 by major payers:
$59.38
BCBS / Anthem
$47.46
UnitedHealthcare
$53.00
Aetna
$52.00
Cigna
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HCPCS A6535
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$150.00Published rateHospital Authority Of Jenkins County
$44.31Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$41.72Published rateMichael Guillette
Aztec Urgent Care LLC
$40.90Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$27.27Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6535 vs. Other Compression Garments and Stockings Codes
The table lists codes related to A6535. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6534-HCPCS | Low | Gradient compression stocking, thigh length, 30-40 mmHg, each |
| A6535-HCPCS | Low | Gradient compression stocking, thigh length, 40 mmhg or greater, each |
| A6536-HCPCS | Low | Gradient compression stocking, full length/chap style, 18-30 mmHg, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6535. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6535 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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