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See a sample rate comparisonHCPCS A6539 Fee Schedule
HCPCS A6539 is classified under Medical And Surgical Supplies, in the Compression Garments and Stockings subgroup.
Gradient compression stocking, waist length, 18-30 mmHg, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Compression Garments and Stockings |
| Complexity Level | Low |
| Medicaid Fee Schedule | $84.55 median of the 7 states in the free preview · View Medicaid rates for A6539 |
National average reimbursement for HCPCS A6539 by major payers:
$82.98
BCBS / Anthem
$64.38
UnitedHealthcare
$108.72
Aetna
$56.14
Cigna
Compare published rates across providers.
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HCPCS A6539
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$203.52Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$92.51Published rateStephens County Hospital Authority
$60.13Published rateEmory Healthcare
Cardiac Arrhythmia Institute
$55.50Published rateChristopher Raio
St Francis Hospital
$37.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6539 vs. Other Compression Garments and Stockings Codes
The table lists codes related to A6539. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6538-HCPCS | Low | Gradient compression stocking, full length/chap style, 40 mmhg or greater, each |
| A6539-HCPCS | Low | Gradient compression stocking, waist length, 18-30 mmHg, each |
| A6540-HCPCS | Low | Gradient compression stocking, waist length, 30-40 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 A6539. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6539 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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