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HCPCS A6563 Fee Schedule

Last Verified: July 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Gradient compression stocking, waist length, 30-40 mmhg, custom, each
Key FactDetail
Service Type

Medical And Surgical Supplies

Compression Garments and Stockings

Complexity LevelModerate

National average reimbursement for HCPCS A6563 by major payers:

bcbs

$854.70

uhc

$911.89

aetna

$921.30

cigna

$1,659.99

Preview provider-level rates for...
For billing codeHCPCS A6563
PayerCodeRateNPITax IDStateSpecialty
United
A6563$2111.741073502985 - CHU CHEN42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC.MAPediatrics Physician (208000000X)
United
A6563$575.921356860621 - CHI MEMORIAL HOSPITAL822748395 - CHI MEMORIAL HOSPITAL - GEORGIAGAGeneral Acute Care Hospital (282N00000X)
United
A6563$623.911306890942 - BROOKS COUNTY HOSPITAL586002830GACritical Access Hospital (282NC0060X)
United
A6563$575.921881144889 - NGMC BARROW LLC, NGMC BARROW581177261 - (GA) GAINESVILLE RADIOLOGY GROUPGAGeneral Acute Care Hospital (282N00000X)
United
A6563$383.951255478004 - CHRISTOPHER RAIO111888924 - GOOD SAMARITAN HOSPTIAL MEDICAL CENTERNYEmergency Medicine Physician (207P00000X)
United
A6563$1443.461306136551 - UJUKA ILOABUCHI474870066 - (GA) GWINNETT OBGYN ASSOCIATES OF GEORGIA LLCGAWomen's Hospital (282NW0100X)
United
A6563$863.891770684284 - THE HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIA, MONROE COUNTY HOSPITAL586010602 - (GA) THE HOSPITAL AUTHORITY OF MONROE COUNTY GEORGIAGACritical Access Hospital (282NC0060X)
United
A6563$623.911790715381 - NORTHSIDE HOSPITAL, INC., NORTHSIDE HOSPITAL DULUTH582002413GAGeneral Acute Care Hospital (282N00000X)
United
A6563$1443.461306136551 - UJUKA ILOABUCHI881014763GAWomen's Hospital (282NW0100X)
United
A6563$623.921255478004 - CHRISTOPHER RAIO113438973 - ST JOSEPH HOSPITALNYEmergency Medicine Physician (207P00000X)
United
A6563$2111.741073502985 - CHU CHEN42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC.MAPediatrics Physician (208000000X)
United
A6563$575.921760498588 - PIEDMONT NEWTON HOSPITAL, INC., NEWTON MEDICAL CENTER582155150 - (GA) PIEDMONT NEWTON HOSPITAL INCGAGeneral Acute Care Hospital (282N00000X)
United
A6563$575.921992799050 - GRADY MEMORIAL HOSPITAL CORPORATION, GRADY HEALTH SYSTEMS262037695 - GRADY MEMORIAL HOSPITAL CORPORATIONGAGeneral Acute Care Hospital (282N00000X)
United
A6563$959.881487684122 - UNION COUNTY HOSPITAL AUTHORITY, UNION GENERAL HOSPITAL586025393 - (GA) UNION COUNTY HOSPITAL AUTHORITYGAGeneral Acute Care Hospital (282N00000X)
United
A6563$383.951235153883 - WILDWOOD SANITARIUM, INCORPORATED, WILDWOOD LIFESTYLE CENTER AND HOSPITAL586039864 - (GA) WILDWOOD SANITARIUM INCORPORATEDGAGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS A6563 vs. Other Compression Garments and Stockings Codes

The HCPCS A6563 code is part of the Medical And Surgical Supplies services used for Compression Garments and Stockings. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS A6563 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
A6563-HCPCSModerateGradient compression stocking, waist length, 30-40 mmhg, custom, each

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6563. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A6563 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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