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See a sample rate comparisonHCPCS G0295 Fee Schedule
HCPCS G0295 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Electromagnetic therapy, to one or more areas, for wound care other than described in G0329 or for other uses
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Complexity Level | Low |
National average reimbursement for HCPCS G0295 by major payers:
$55.52
BCBS / Anthem
$49.53
UnitedHealthcare
$11.27
Aetna
$7.03
Cigna
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HCPCS G0295
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See a sample payer proposalHCPCS G0295 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0295. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| G0296-HCPCS | Low | Counseling visit to discuss need for lung cancer screening (ldct) using low dose ct scan (service is for eligibility determination and shared decision making) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0295. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0295 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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