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See a sample rate comparisonHCPCS G0153 Fee Schedule
HCPCS G0153 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Services performed by a qualified speech-language pathologist 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 | $24.14 median of the 5 states in the free preview · View Medicaid rates for G0153 |
National average reimbursement for HCPCS G0153 by major payers:
$40.60
BCBS / Anthem
$51.67
UnitedHealthcare
$39.25
Aetna
$83.74
Cigna
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HCPCS G0153
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0153 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0153. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| G0155-HCPCS | Low | Services of clinical social worker in home health or hospice settings, 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 G0153. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0153 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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