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See a sample rate comparisonHCPCS G0248 Fee Schedule
Medicare rates as of October 2026
HCPCS G0248 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Demonstration, prior to initiation of home INR monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the INR monitor, obtaining at least one blood sample, provision of instructions for reporting home INR test results, and documentation of patient's ability to perform testing and report results
| 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 G0248 |
| Medicaid Fee Schedule | $87.275 median of the 8 states in the free preview · View Medicaid rates for G0248 |
National average reimbursement for HCPCS G0248 by major payers:
$154.85
BCBS / Anthem
$132.82
UnitedHealthcare
$98.59
Aetna
$109.48
Cigna
Compare published rates across providers.
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HCPCS G0248
5 of 25 sample ratesHigher to lower in this preview
Brooks County Hospital
$480.33Published rateApril Leuzinger
Aztec Urgent Care LLC
$226.91Published rateLallie Kemp Medical Ctr, Lallie Kemp Regional Medical Center
$194.58Published rateFakhir Elmasri
University Of Miami
$111.77Published rateBrittany Ptachick
Hroa 401k Plan
$47.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0248 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0248. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0247-HCPCS | Low | Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails |
| G0248-HCPCS | Low | Demonstration, prior to initiation of home INR monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the INR monitor, obtaining at least one blood sample, provision of instructions for reporting home INR test results, and documentation of patient's ability to perform testing and report results |
| G0249-HCPCS | Low | Provision of test materials and equipment for home INR monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0248. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0248 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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