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See a sample rate comparisonHCPCS G0293 Fee Schedule
HCPCS G0293 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Noncovered surgical procedure(s) using conscious sedation, regional, general or spinal anesthesia in a Medicare qualifying clinical trial, per day
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
National average reimbursement for HCPCS G0293 by major payers:
$49.74
BCBS / Anthem
$51.64
UnitedHealthcare
$3.73
Aetna
$4.26
Cigna
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HCPCS G0293
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$105.51Published rateAnna Jaques Hospital
$68.61Published rateLake Surgical Hospital Slidell, LLC
Lake Surgical Hospital Slidell, LLC Dba Southern Surgical Hospital
$60.66Published rateProgressive Acute Care Dauterive, LLC, Dauterive Hospital
Progressive Acute Care Dauterive LLC
$48.09Published rateSabine Medical Center
$40.93Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0293 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0293. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0289-HCPCS | Low | Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee |
| G0293-HCPCS | Low | Noncovered surgical procedure(s) using conscious sedation, regional, general or spinal anesthesia in a Medicare qualifying clinical trial, per day |
| G0294-HCPCS | Low | Noncovered procedure(s) using either no anesthesia or local anesthesia only, in a Medicare qualifying clinical trial, per day |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0293. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0293 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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