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See a sample rate comparisonHCPCS G0175 Fee Schedule
HCPCS G0175 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for G0175 |
National average reimbursement for HCPCS G0175 by major payers:
$342.37
BCBS / Anthem
$51.00
UnitedHealthcare
$83.37
Aetna
$215.78
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0175.
HCPCS G0175
5 of 25 sample ratesHigher to lower in this preview
Slidell Memorial Hospital, Md Imaging Slidell
Slidell Memorial Hospital
$966.30Published rateLake Surgical Hospital Slidell, LLC
Lake Surgical Hospital Slidell, LLC Dba Southern Surgical Hospital
$669.97Published rateHospital Service District Of The Parish Of St. Bernard, State Of Louis, St. Bernard Parish Hospital
Hospital Service District Of The Parish Of St Bernard State Of Louis
$594.91Published rateOmega Hospital LLC
Omega Hospital, LLC
$515.73Published rateSabine Medical Center Inc, Sabine Medical Center
$444.10Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0175 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0175. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| G0176-HCPCS | Low | Activity therapy, such as music, dance, art or play therapies not for recreation, related to the care and treatment of patient's disabling mental health problems, per session (45 minutes or more) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0175. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0175 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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