Surgical Dressings - 2006 Region A DMERC Fee Schedule
(Click here for a text version of this fee schedule.)

HCPCSMOD1MOD2CeilingFloorCTDEMAMENHNJNYPARIVT
A4462  $3.29$2.80$3.29$3.29$3.29$3.29$3.29$3.29$3.29$3.29$3.29$3.29
A6010  $30.96$26.32$30.96$30.96$30.96$30.96$30.96$30.96$30.96$30.96$30.96$30.96
A6011  $2.28$1.94$2.28$2.28$2.28$2.28$2.28$2.28$2.28$2.28$2.28$2.28
A6021  $21.02$17.87$21.02$21.02$21.02$21.02$21.02$21.02$21.02$21.02$21.02$21.02
A6022  $21.02$17.87$21.02$21.02$21.02$21.02$21.02$21.02$21.02$21.02$21.02$21.02
A6023  $190.30$161.76$190.30$190.30$190.30$190.30$190.30$190.30$190.30$190.30$190.30$190.30
A6024  $6.19$5.26$6.19$6.19$6.19$6.19$6.19$6.19$6.19$6.19$6.19$6.19
A6154  $14.38$12.22$14.38$14.38$14.38$14.38$14.38$14.38$14.38$14.38$14.38$14.38
A6196  $7.35$6.25$7.35$7.35$7.35$7.35$7.35$7.35$7.35$7.35$7.35$7.35
A6197  $16.44$13.97$16.44$16.44$16.44$16.44$16.44$16.44$16.44$16.44$16.44$16.44
A6199  $5.29$4.50$5.29$5.29$5.29$5.29$5.29$5.29$5.29$5.29$5.29$5.29
A6200  $9.50$8.08$9.50$9.50$9.50$9.50$9.50$9.50$9.50$9.50$9.50$9.50
A6201  $20.80$17.68$20.80$20.80$20.80$20.80$20.80$20.80$20.80$20.80$20.80$20.80
A6202  $34.88$29.65$34.88$34.88$34.88$34.88$34.88$34.88$34.88$34.88$34.88$34.88
A6203  $3.35$2.85$3.35$3.35$3.35$3.35$3.35$3.35$3.35$3.35$3.35$3.35
A6204  $6.23$5.30$6.23$6.23$6.23$6.23$6.23$6.23$6.23$6.23$6.23$6.23
A6207  $7.34$6.24$7.34$7.34$7.34$7.34$7.34$7.34$7.34$7.34$7.34$7.34
A6209  $7.48$6.36$7.48$7.48$7.48$7.48$7.48$7.48$7.48$7.48$7.48$7.48
A6210  $19.92$16.93$19.92$19.92$19.92$19.92$19.92$19.92$19.92$19.92$19.92$19.92
A6211  $29.37$24.96$29.37$29.37$29.37$29.37$29.37$29.37$29.37$29.37$29.37$29.37
A6212  $9.70$8.25$9.70$9.70$9.70$9.70$9.70$9.70$9.70$9.70$9.70$9.70
A6214  $10.29$8.75$10.29$10.29$10.29$10.29$10.29$10.29$10.29$10.29$10.29$10.29
A6216  $0.05$0.04$0.05$0.05$0.05$0.05$0.05$0.05$0.05$0.05$0.05$0.05
A6217  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6219  $0.95$0.81$0.95$0.95$0.95$0.95$0.95$0.95$0.95$0.95$0.95$0.95
A6220  $2.58$2.19$2.58$2.58$2.58$2.58$2.58$2.58$2.58$2.58$2.58$2.58
A6222  $2.13$1.81$2.13$2.13$2.13$2.13$2.13$2.13$2.13$2.13$2.13$2.13
A6223  $2.42$2.06$2.42$2.42$2.42$2.42$2.42$2.42$2.42$2.42$2.42$2.42
A6224  $3.61$3.07$3.61$3.61$3.61$3.61$3.61$3.61$3.61$3.61$3.61$3.61
A6229  $3.61$3.07$3.61$3.61$3.61$3.61$3.61$3.61$3.61$3.61$3.61$3.61
A6231  $4.68$3.98$4.66$4.66$4.66$4.66$4.66$4.66$4.66$4.66$4.66$4.66
A6232  $6.88$5.85$6.88$6.88$6.88$6.88$6.88$6.88$6.88$6.88$6.88$6.88
A6233  $19.19$16.31$19.19$19.19$19.19$19.19$19.19$19.19$19.19$19.19$19.19$19.19
A6234  $6.54$5.56$6.54$6.54$6.54$6.54$6.54$6.54$6.54$6.54$6.54$6.54
A6235  $16.82$14.30$16.82$16.82$16.82$16.82$16.82$16.82$16.82$16.82$16.82$16.82
A6236  $27.25$23.16$27.25$27.25$27.25$27.25$27.25$27.25$27.25$27.25$27.25$27.25
A6237  $7.91$6.72$7.91$7.91$7.91$7.91$7.91$7.91$7.91$7.91$7.91$7.91
A6238  $22.79$19.37$22.79$22.79$22.79$22.79$22.79$22.79$22.79$22.79$22.79$22.79
A6240  $12.24$10.40$12.24$12.24$12.24$12.24$12.24$12.24$12.24$12.24$12.24$12.24
A6241  $2.57$2.18$2.57$2.57$2.57$2.57$2.57$2.57$2.57$2.57$2.57$2.57
A6242  $6.07$5.16$6.07$6.07$6.07$6.07$6.07$6.07$6.07$6.07$6.07$6.07
A6243  $12.31$10.46$12.31$12.31$12.31$12.31$12.31$12.31$12.31$12.31$12.31$12.31
A6244  $39.28$33.39$39.28$39.28$39.28$39.28$39.28$39.28$39.28$39.28$39.28$39.28
A6245  $7.27$6.18$7.27$7.27$7.27$7.27$7.27$7.27$7.27$7.27$7.27$7.27
A6246  $9.92$8.43$9.92$9.92$9.92$9.92$9.92$9.92$9.92$9.92$9.92$9.92
A6247  $23.78$20.21$23.78$23.78$23.78$23.78$23.78$23.78$23.78$23.78$23.78$23.78
A6248  $16.24$13.80$16.24$16.24$16.24$16.24$16.24$16.24$16.24$16.24$16.24$16.24
A6251  $1.99$1.69$1.99$1.99$1.99$1.99$1.99$1.99$1.99$1.99$1.99$1.99
A6252  $3.25$2.76$3.25$3.25$3.25$3.25$3.25$3.25$3.25$3.25$3.25$3.25
A6253  $6.34$5.39$6.34$6.34$6.34$6.34$6.34$6.34$6.34$6.34$6.34$6.34
A6254  $1.21$1.03$1.21$1.21$1.21$1.21$1.21$1.21$1.21$1.21$1.21$1.21
A6255  $3.03$2.58$3.03$3.03$3.03$3.03$3.03$3.03$3.03$3.03$3.03$3.03
A6257  $1.53$1.30$1.53$1.53$1.53$1.53$1.53$1.53$1.53$1.53$1.53$1.53
A6258  $4.30$3.66$4.30$4.30$4.30$4.30$4.30$4.30$4.30$4.30$4.30$4.30
A6259  $10.94$9.30$10.94$10.94$10.94$10.94$10.94$10.94$10.94$10.94$10.94$10.94
A6266  $1.92$1.63$1.92$1.92$1.92$1.92$1.92$1.92$1.92$1.92$1.92$1.92
A6402  $0.12$0.10$0.12$0.12$0.12$0.12$0.12$0.12$0.12$0.12$0.12$0.12
A6403  $0.43$0.37$0.43$0.43$0.43$0.43$0.43$0.43$0.43$0.43$0.43$0.43
A6407  $1.88$1.60$1.88$1.88$1.88$1.88$1.88$1.88$1.88$1.88$1.88$1.88
A6410  $0.39$0.33$0.39$0.39$0.39$0.39$0.39$0.39$0.39$0.39$0.39$0.39
A6411  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6441  $0.67$0.57$0.67$0.67$0.67$0.67$0.67$0.67$0.67$0.67$0.67$0.67
A6442  $0.17$0.14$0.17$0.17$0.17$0.17$0.17$0.17$0.17$0.17$0.17$0.17
A6443  $0.29$0.25$0.29$0.29$0.29$0.29$0.29$0.29$0.29$0.29$0.29$0.29
A6444  $0.56$0.48$0.56$0.56$0.56$0.56$0.56$0.56$0.56$0.56$0.56$0.56
A6445  $0.32$0.27$0.32$0.32$0.32$0.32$0.32$0.32$0.32$0.32$0.32$0.32
A6446  $0.41$0.35$0.41$0.41$0.41$0.41$0.41$0.41$0.41$0.41$0.41$0.41
A6447  $0.67$0.57$0.67$0.67$0.67$0.67$0.67$0.67$0.67$0.67$0.67$0.67
A6448  $1.16$0.99$1.16$1.16$1.16$1.16$1.16$1.16$1.16$1.16$1.16$1.16
A6449  $1.75$1.49$1.75$1.75$1.75$1.75$1.75$1.75$1.75$1.75$1.75$1.75
A6450  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6451  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6452  $5.91$5.02$5.91$5.91$5.91$5.91$5.91$5.91$5.91$5.91$5.91$5.91
A6453  $0.61$0.52$0.61$0.61$0.61$0.61$0.61$0.61$0.61$0.61$0.61$0.61
A6454  $0.77$0.65$0.77$0.77$0.77$0.77$0.77$0.77$0.77$0.77$0.77$0.77
A6455  $1.39$1.18$1.39$1.39$1.39$1.39$1.39$1.39$1.39$1.39$1.39$1.39
A6456  $1.28$1.09$1.28$1.28$1.28$1.28$1.28$1.28$1.28$1.28$1.28$1.28
A6457  $1.14$0.97$1.14$1.14$1.14$1.14$1.14$1.14$1.14$1.14$1.14$1.14
A6501  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6502  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6503  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6504  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6505  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6506  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6507  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6508  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6509  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6510  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6511  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6513  $0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00$0.00
A6531AW $43.27$36.78$43.27$43.27$43.27$43.27$43.27$43.27$43.27$43.27$43.27$43.27
A6532AW $60.96$51.82$60.96$60.96$60.96$60.96$60.96$60.96$60.96$60.96$60.96$60.96

Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.

Capped Rental   Frequently Serviced Items   Inexpensive/Routinely Purchased Items   Ostomy, Tracheostomy & Urologicals  
Oxygen & Oxygen Equipment   Prosthetics & Orthotics   Surgical Dressings   Supplies   TENS   Therapeutic Shoes  
Back to 2006 Fee Schedule