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See a sample rate comparisonHCPCS A9156 Fee Schedule
HCPCS A9156 is classified under Administrative, Miscellaneous and Investigational, in the Miscellaneous Supplies and Equipment subgroup.
Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 1 ml
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Miscellaneous Supplies and Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A9156 |
National average reimbursement for HCPCS A9156 by major payers:
$3.15
BCBS / Anthem
$2.47
UnitedHealthcare
$2.50
Aetna
$10.81
Cigna
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HCPCS A9156
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$7.28Published rateEmory Crawford Long Hospital
Emory University
$2.98Published rateDodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
$2.49Published rateStephens County Hospital Authority
$2.49Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$2.47Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9156 vs. Other Miscellaneous Supplies and Equipment Codes
| Code | Complexity | Description |
|---|---|---|
| A9156-HCPCS | Low | Oral mucoadhesive, any type (liquid, gel, paste, etc.), per 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 A9156. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9156 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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