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See a sample rate comparisonHCPCS G0269 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | High |
| Medicaid Fee Schedule | $79.51 median of the 2 states in the free preview · View Medicaid rates for G0269 |
National average reimbursement for HCPCS G0269 by major payers:

$1,053.92
BCBS / Anthem

$107.29
UnitedHealthcare

$318.48
Aetna

$7.76
Cigna
Choose a payer to see a sample of rates for HCPCS G0269.
Wellstar Sylvan Grove Hospital, Inc, Sylvan Grove Hospital
Wellstar Sylvan Grove Hospital Inc
Wards 3 4 & 10 Hospital Service District Parish Of Union, Reeves Memorial Medical Center
University Healthcare System, L.C., Tulane Lakeside Hospital
St. James Parish Hosp. Serv. Dist.
St James Parish Hospital
Baton Rouge La Endoscopy Asc LLC, Louisiana Endoscopy Center
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS G0269 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0269. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0268-HCPCS | Low | Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
| G0269-HCPCS | High | Placement of occlusive device into either a venous or arterial access site, post surgical or interventional procedure (e.g., angioseal plug, vascular plug) |
| G0270-HCPCS | Low | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0269. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0269 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.
Bring your top codes (like HCPCS G0269) and we'll show you how you compare in 15 minutes or less.