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See a sample rate comparisonHCPCS G0151 Fee Schedule
HCPCS G0151 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicaid Fee Schedule | $30.46 median of the 5 states in the free preview · View Medicaid rates for G0151 |
National average reimbursement for HCPCS G0151 by major payers:
$64.71
BCBS / Anthem
$40.35
UnitedHealthcare
$40.31
Aetna
$52.33
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0151.
HCPCS G0151
5 of 25 sample ratesHigher to lower in this preview
Bradley Walker
$1,000,000.00Published rateAmazing Kidz Extended Care Inc.
Amazing Kidz Extended Care Inc
$40.00Published rateDoris Okotie
Westchester Medical Center Advanced Physician Services, P.C
$17.00Published rateSamiran Das
New York City Health And Hospitals Corporation
$14.44Published rateJose Moonjely Davis
New York City Health And Hospitals Corporation
$14.44Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0151 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0151. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0148-HCPCS | Low | Screening cytopathology smears, cervical or vaginal, performed by automated system with manual rescreening |
| G0151-HCPCS | Low | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes |
| G0152-HCPCS | Low | Services performed by a qualified occupational therapist in the home health or hospice setting, 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 G0151. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0151 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.
FREE SAMPLE MARKET COMPARISON
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