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See a sample rate comparisonHCPCS G0186 Fee Schedule
HCPCS G0186 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $490.375 median of the 8 states in the free preview · View Medicaid rates for G0186 |
National average reimbursement for HCPCS G0186 by major payers:
$799.40
BCBS / Anthem
$799.83
UnitedHealthcare
$534.16
Aetna
$638.80
Cigna
Compare published rates across providers.
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HCPCS G0186
5 of 25 sample ratesHigher to lower in this preview
Northshore Regional Medical Center Dba The Surgery Suite, The Surgery Suite
Ochsner Clinic Foundation
$3,113.00Published rateMaricopa County Special Health Care District, Valleywise Health
$792.00Published rateImperial Calcasieu Surgical Center LLC, Christus Imperial Calcasieu Surgical Center
Imperial Calcasieu Surgical Center LLC
$425.00Published rateLahaye Center For Advanced Eye Care Of Lafayette, Inc.
$281.00Published rateSurgicare Of Lake Charles LLC, Surgicare Of Lake Charles
Lake Area Surgicare LLC
$210.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0186 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0186. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0182-HCPCS | Low | Physician supervision of a patient under a Medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more |
| G0186-HCPCS | Moderate | Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions) |
| G0219-HCPCS | High | PET imaging whole body; melanoma for non-covered indications |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0186. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0186 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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