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See a sample rate comparisonHCPCS G0138 Fee Schedule
Medicare rates as of October 2026
HCPCS G0138 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Intravenous infusion of cipaglucosidase alfa-atga, including provider/supplier acquisition and clinical supervision of oral administration of miglustat in preparation of receipt of cipaglucosidase alfa-atga
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $196.40 national non-facility rate (2026) · View Medicare rates for G0138 |
| Medicaid Fee Schedule | $157.29 median of the 8 states in the free preview · View Medicaid rates for G0138 |
National average reimbursement for HCPCS G0138 by major payers:
$285.07
BCBS / Anthem
$297.68
UnitedHealthcare
$192.21
Aetna
$281.54
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0138.
HCPCS G0138
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
$352.08Published rateFloyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
$306.58Published rateHospital Authority Of Ben Hill, Dorminy Medical Center
$257.13Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$244.99Published rateDodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
$191.61Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0138 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
| Code | Complexity | Description |
|---|---|---|
| G0138-HCPCS | Moderate | Intravenous infusion of cipaglucosidase alfa-atga, including provider/supplier acquisition and clinical supervision of oral administration of miglustat in preparation of receipt of cipaglucosidase alfa-atga |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0138. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0138 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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