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See a sample rate comparisonHCPCS G0089 Fee Schedule
HCPCS G0089 is classified under Procedures / Professional Services, in the Initial Visit for Professional Services subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Initial Visit for Professional Services |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $217.715 median of the 4 states in the free preview · View Medicaid rates for G0089 |
National average reimbursement for HCPCS G0089 by major payers:
$392.80
BCBS / Anthem
$372.32
UnitedHealthcare
$251.97
Aetna
$304.12
Cigna
Compare published rates across providers.
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HCPCS G0089
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$769.74Published rateSt. Francis Radiologists, LLC
$496.51Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$390.72Published ratePiedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$303.72Published rateMiguel Arenas
Miguel A Arenas Md PC
$236.05Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0089 vs. Other Initial Visit for Professional Services Codes
The table lists codes related to G0089. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| G0090-HCPCS | Moderate | Professional services, initial visit, for the administration of intravenous chemotherapy or other highly complex 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 G0089. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0089 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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