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See a sample rate comparisonHCPCS G0117 Fee Schedule
Medicare rates as of October 2026
HCPCS G0117 is classified under Procedures / Professional Services, in the Screening Examinations and Disease Management Training subgroup.
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Screening Examinations and Disease Management Training |
| Complexity Level | Low |
| Medicare Fee Schedule | $64.46 national non-facility rate (2026) · View Medicare rates for G0117 |
| Medicaid Fee Schedule | $51.245 median of the 8 states in the free preview · View Medicaid rates for G0117 |
National average reimbursement for HCPCS G0117 by major payers:
$77.09
BCBS / Anthem
$64.28
UnitedHealthcare
$58.15
Aetna
$69.29
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0117.
HCPCS G0117
5 of 25 sample ratesHigher to lower in this preview
Hospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$142.49Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$70.73Published rateMarc Stiefel
Pinnacle Ent Alliance, LLC
$60.87Published rateProfessional Resources Management Of Rabun, LLC, Mountain Lakes Medical Center
$53.93Published rateClhg-Winn, LLC, Winn Parish Medical Center
$27.46Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0117 vs. Other Screening Examinations and Disease Management Training Codes
The table lists codes related to G0117. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0109-HCPCS | Low | Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes |
| G0117-HCPCS | Low | Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
| G0118-HCPCS | Low | Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalmologist |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0117. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0117 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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