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See a sample rate comparisonHCPCS G0255 Fee Schedule
HCPCS G0255 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Current perception threshold/sensory nerve conduction test, (SNCT) per limb, any nerve
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
| Medicaid Fee Schedule | $116.59 median of the 3 states in the free preview · View Medicaid rates for G0255 |
National average reimbursement for HCPCS G0255 by major payers:
$118.90
BCBS / Anthem
$90.30
UnitedHealthcare
$386.99
Aetna
$201.55
Cigna
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HCPCS G0255
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See a sample payer proposalHCPCS G0255 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0255. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0252-HCPCS | Moderate | PET imaging, full and partial-ring PET scanners only, for initial diagnosis of breast cancer and/or surgical planning for breast cancer (e.g., initial staging of axillary lymph nodes) |
| G0255-HCPCS | Low | Current perception threshold/sensory nerve conduction test, (SNCT) per limb, any nerve |
| G0257-HCPCS | Moderate | Unscheduled or emergency dialysis treatment for an ESRD patient in a hospital outpatient department that is not certified as an ESRD facility |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0255. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0255 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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