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See a sample rate comparisonHCPCS G0152 Fee Schedule
HCPCS G0152 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Services performed by a qualified occupational 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 G0152 |
National average reimbursement for HCPCS G0152 by major payers:
$46.05
BCBS / Anthem
$40.75
UnitedHealthcare
$38.87
Aetna
$49.17
Cigna
Compare published rates across providers.
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HCPCS G0152
5 of 25 sample ratesHigher to lower in this preview
Amazing Kidz Extended Care Inc.
Amazing Kidz Extended Care Inc
$60.00Published rateAmazing Kidz Extended Care Inc.
Amazing Kidz Extended Care Inc
$40.00Published rateDa Pediatric Rehabilitation
$35.00Published rateBrownstone Physical Therapy, P.C.
$16.00Published 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 G0152 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0152. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| G0153-HCPCS | Low | Services performed by a qualified speech-language pathologist 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 G0152. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0152 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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Bring your top codes (like HCPCS G0152) and we'll show you how you compare in 15 minutes or less.