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See a sample rate comparisonHCPCS A9275 Fee Schedule
HCPCS A9275 is classified under Administrative, Miscellaneous and Investigational, in the Miscellaneous Supplies and Equipment subgroup.
Home glucose disposable monitor, includes test strips
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Miscellaneous Supplies and Equipment |
| Complexity Level | Moderate |
National average reimbursement for HCPCS A9275 by major payers:
$276.93
BCBS / Anthem
$52.25
UnitedHealthcare
$2.82
Aetna
$0.21
Cigna
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HCPCS A9275
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9275 vs. Other Miscellaneous Supplies and Equipment Codes
The table lists codes related to A9275. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9274-HCPCS | Low | External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories |
| A9275-HCPCS | Moderate | Home glucose disposable monitor, includes test strips |
| A9276-HCPCS | Low | Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9275. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9275 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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