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See a sample rate comparisonHCPCS G0128 Fee Schedule
Medicare rates as of October 2026
HCPCS G0128 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $11.02 national non-facility rate (2026) · View Medicare rates for G0128 |
| Medicaid Fee Schedule | $8.37 median of the 5 states in the free preview · View Medicaid rates for G0128 |
National average reimbursement for HCPCS G0128 by major payers:
$10.03
BCBS / Anthem
$9.41
UnitedHealthcare
$8.41
Aetna
$10.41
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0128.
HCPCS G0128
5 of 25 sample ratesHigher to lower in this preview
Emory University Hospital
Emory University
$24.90Published ratePhoebe Worth Medical Center, Inc, Phoebe Worth Medical Center, Inc
Phoebe Worth Medical Center Inc
$14.40Published rateWillamette Community Health Solutions, Cascade Health Solutions
$10.07Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$6.44Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$4.48Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0128 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0128. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0127-HCPCS | Low | Trimming of dystrophic nails, any number |
| G0128-HCPCS | Low | Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility, each 10 minutes beyond the first 5 minutes |
| G0129-HCPCS | Low | Occupational therapy services requiring the skills of a qualified occupational therapist, furnished as a component of a partial hospitalization or intensive outpatient treatment program, per session (45 minutes or more) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0128. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0128 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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