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See a sample rate comparisonHCPCS G0235 Fee Schedule
HCPCS G0235 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
PET imaging, any site, not otherwise specified
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for G0235 |
National average reimbursement for HCPCS G0235 by major payers:
$1,044.72
BCBS / Anthem
$303.58
UnitedHealthcare
$1,246.58
Aetna
$1,235.33
Cigna
Compare published rates across providers.
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HCPCS G0235
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$1,080.22Published rateSurgical Specialty Center Of Baton Rouge, LLC, Surgical Specialty Center Of Baton Rouge
Surgical Specialty Center Of Baton Rouge, LLC
$848.52Published rateUniversity Healthcare System, L.C., Tulane Lakeside Hospital
$546.82Published rateMaricopa County Special Health Care District, Valleywise Health
$452.54Published ratePark Place Surgery Center, LLC, Park Place Surgical Hospital
Park Place Surgical Hospital
$320.54Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0235 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0235. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0219-HCPCS | High | PET imaging whole body; melanoma for non-covered indications |
| G0235-HCPCS | High | PET imaging, any site, not otherwise specified |
| G0237-HCPCS | Low | Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0235. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0235 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 G0235) and we'll show you how you compare in 15 minutes or less.