Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A6549 Fee Schedule
HCPCS A6549 is classified under Medical And Surgical Supplies, in the Compression Garments and Stockings subgroup.
Gradient compression garment, not otherwise specified, for daytime use, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Compression Garments and Stockings |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $25.50 median of the 2 states in the free preview · View Medicaid rates for A6549 |
National average reimbursement for HCPCS A6549 by major payers:
$399.50
BCBS / Anthem
$137.23
UnitedHealthcare
$70.49
Aetna
$178.12
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A6549.
HCPCS A6549
No sample rates available for this payer and code. Search provider rates to explore coverage.
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A6549 vs. Other Compression Garments and Stockings Codes
The table lists codes related to A6549. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A6545-HCPCS | Low | Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each |
| A6549-HCPCS | Moderate | Gradient compression garment, not otherwise specified, for daytime use, each |
| A6550-HCPCS | Low | Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6549. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6549 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A6549) and we'll show you how you compare in 15 minutes or less.