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See a sample rate comparisonHCPCS G0294 Fee Schedule
HCPCS G0294 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Noncovered procedure(s) using either no anesthesia or local anesthesia only, 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 G0294 by major payers:
$47.63
BCBS / Anthem
$51.64
UnitedHealthcare
$3.50
Aetna
$55.50
Cigna
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HCPCS G0294
5 of 25 sample ratesHigher to lower in this preview
St. Tammany Parish Hospital Service District No 1, St. Tammany Parish Hospital
$115.44Published rateSlidell Memorial Hospital, Md Imaging Slidell
Slidell Memorial Hospital
$80.45Published rateOur Lady Of The Angels Hospital, Inc., Our Lady Of The Angels Hospital
Our Lady Of The Angels Hospital Inc
$62.72Published rateDoctors' Hospital Of Slidell, LLC, Sterling Surgical Hospital
Doctors Hospital Of Slidell, LLC
$47.09Published rateSabine Medical Center
$40.93Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0294 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0294. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| G0295-HCPCS | Low | Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0294. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0294 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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