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See a sample rate comparisonHCPCS G0088 Fee Schedule
HCPCS G0088 is classified under Procedures / Professional Services, in the Initial Visit for Professional Services subgroup.
Professional services, initial visit, for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Initial Visit for Professional Services |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $161.135 median of the 4 states in the free preview · View Medicaid rates for G0088 |
National average reimbursement for HCPCS G0088 by major payers:
$281.48
BCBS / Anthem
$275.80
UnitedHealthcare
$187.58
Aetna
$225.02
Cigna
Compare published rates across providers.
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HCPCS G0088
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$570.21Published rateCabrini Sutherland
Surgical Specialists Of Charlotte, PA
$367.64Published rateJulie Webster
Carolina Radiology Associates, LLC
$265.58Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$238.28Published rateJulie Webster
Musc Community Physicians
$217.11Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0088 vs. Other Initial Visit for Professional Services Codes
The table lists codes related to G0088. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0087-HCPCS | Low | Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home, domiciliary, rest home, assisted living and/or nursing facility) |
| G0088-HCPCS | Moderate | Professional services, initial visit, for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes |
| G0089-HCPCS | Moderate | Professional services, initial visit, for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home, each 15 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0088. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0088 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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