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See a sample rate comparisonHCPCS G0102 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Prostate cancer screening; digital rectal examination
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Screening Examinations and Disease Management Training |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G0102 |
National average reimbursement for HCPCS G0102 by major payers:
$27.31
$27.40
$24.14
$25.25
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HCPCS G0102
5 of 25 sample ratesHigher to lower in this preview
Jacob Holloway
$68.58Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Putney Memorial Hospital Inc
$32.72Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$26.42Published rateNortheast Georgia Medical Center, Inc.
Gainesville Radiology Group
$23.10Published rateCindy Chang
Miguel A Arenas Md PC
$7.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0102 vs. Other Screening Examinations and Disease Management Training Codes
The HCPCS G0102 code is part of the Procedures / Professional Services services used for Screening Examinations and Disease Management Training. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS G0102 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| G0101-HCPCS | Low | Cervical or vaginal cancer screening; pelvic and clinical breast examination |
| G0102-HCPCS | Low | Prostate cancer screening; digital rectal examination |
| G0103-HCPCS | Low | Prostate cancer screening; prostate specific antigen test (PSA) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0102. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0102 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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