Non-Rural Average
$1.42
Rural Average
$0.00
DMEPOS Equipment
A4259 Medicare Reimbursement Rate (2026)
Current CMS pricing and breakdown for Lancets per box.
HCPCS Code A4259
Medicare DMEPOS Rates
Geography-specific DMEPOS pricing
DMEPOS rates can vary by geography. These application-calculated figures summarize published CMS state and territory rates separately for rural and non-rural areas without combining modifier scenarios. Enter a ZIP code to see the applicable rate for a specific location.
Rates vary by location
Your actual reimbursement depends on your specific Zip Code and GPCI adjustments (e.g., New York vs. Texas).
Historical DMEPOS Rates
Every published quarter is shown, including quarters in which rates did not change.
| Quarter | Non-Rural Rate | Rural Rate |
|---|---|---|
| 2026 Q4 | $1.42 | $0.00 |
| 2026 Q3 | $1.42 | $0.00 |
| 2026 Q2 | $1.42 | $0.00 |
| 2026 Q1 | $1.42 | $0.00 |
| 2025 Q4 | $1.42 | $0.00 |
| 2025 Q3 | $1.42 | $0.00 |
| 2025 Q2 | $1.42 | $0.00 |
| 2025 Q1 | $1.42 | $0.00 |
Code Description
Lancets, per box of 100
Reimbursement Summary
CPT code A4259 (Lancets, per box of 100) had a 2026 Medicare non-facility reimbursement rate of $1.42.
The 2026 National Medicare reimbursement estimate for A4259 is $1.42. Actual payment can vary by locality, setting, and claim specifics.
Description: Lancets, per box of 100. For locality-adjusted estimates, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool.
Note: amounts shown are estimates based on CMS national averages for Q4 2026.
Are you being paid correctly for this code?
Compare a payment against the Medicare benchmark for this code.
Medicare rates are used as a benchmark only. Actual payer contracts, modifiers, place of service, units, and billing rules may affect reimbursement. This tool is for educational and operational review purposes, not legal or billing advice.
Frequently Asked Questions
What is the 2026 Medicare rate for A4259?
The 2026 National Average Medicare reimbursement rate for A4259 (DMEPOS Equipment) is $1.42. This rate is effective as of January 1, 2026.
What is the description for code A4259?
Lancets, per box of 100
How can I find my local Medicare rate for A4259?
Use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool on the homepage to estimate your locality-adjusted reimbursement. Medicare payment can vary based on geographic adjustments (GPCI), place of service, and claim specifics.
Is A4259 covered by Medicare?
Coverage depends on medical necessity, setting, and Medicare policy. Some codes may be bundled, contractor-priced, or restricted. Verify final coverage guidance through CMS or your local MAC when applicable.
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