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See a sample rate comparisonHCPCS G0168 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $105.55 national non-facility rate (2026) · View Medicare rates for G0168 |
| Medicaid Fee Schedule | $82.875 median of the 8 states in the free preview · View Medicaid rates for G0168 |
National average reimbursement for HCPCS G0168 by major payers:

$112.44
BCBS / Anthem

$129.70
UnitedHealthcare

$125.29
Aetna

$131.60
Cigna
Choose a payer to see a sample of rates for HCPCS G0168.
Our Lady Of Lourdes Regional Medical Center,Inc
Our Lady Of Lourdes Regional Medical Center Inc
Brfhh Shreveport, LLC
West Jefferson Holdings, LLC, West Jefferson Medical Center
West Jefferson Holdings, LLC
New Orleans La Uptown West Bank Endoscopy Asc LLC, Mga Gastrointestinal Diagnostic And Therapeutic Center
Ambulatory Surgery Center Of Opelousas
Ambulatory Surgery Center Of O
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS G0168 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0168. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0166-HCPCS | Low | External counterpulsation, per treatment session |
| G0168-HCPCS | Low | Wound closure utilizing tissue adhesive(s) only |
| G0175-HCPCS | Moderate | Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0168. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0168 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.
Bring your top codes (like HCPCS G0168) and we'll show you how you compare in 15 minutes or less.