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See a sample rate comparisonHCPCS A9154 Fee Schedule
HCPCS A9154 is classified under Administrative, Miscellaneous and Investigational, in the Miscellaneous Supplies and Equipment subgroup.
Artificial saliva, 1 ml
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Miscellaneous Supplies and Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | $1.405 median of the 2 states in the free preview · View Medicaid rates for A9154 |
National average reimbursement for HCPCS A9154 by major payers:
$5.55
BCBS / Anthem
$0.18
UnitedHealthcare
$N/A
Aetna
$1.17
Cigna
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HCPCS A9154
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9154 vs. Other Miscellaneous Supplies and Equipment Codes
| Code | Complexity | Description |
|---|---|---|
| A9154-HCPCS | Low | Artificial saliva, 1 ml |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9154. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9154 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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