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See a sample rate comparisonHCPCS G0372 Fee Schedule
Medicare rates as of October 2026
HCPCS G0372 is classified under Procedures / Professional Services, in the Miscellaneous Diagnostic and Therapeutic Services subgroup.
Physician service required to establish and document the need for a power mobility device
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Diagnostic and Therapeutic Services |
| Common Revenue Codes | 0521 |
| Medicare Fee Schedule | $9.35 national non-facility rate (2026)View Medicare rates for G0372 |
| Medicaid Fee Schedule | $8.65 median of the 8 states in the free previewView Medicaid rates for G0372 |
National average reimbursement for HCPCS G0372 by major payers:
$13.43
BCBS / Anthem
$13.64
UnitedHealthcare
$10.22
Aetna
$9.40
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0372.
HCPCS G0372
5 of 25 sample ratesHigher to lower in this preview
Scottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$30.29Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$17.51Published rateFloyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
$15.01Published rateAndrew Laster
Arthritis And Osteoporosis Consultants Of The Carolinas, PA
$11.81Published rateCindy Chang
Miguel A Arenas Md PC
$7.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0372 vs. Other Miscellaneous Diagnostic and Therapeutic Services Codes
The table lists codes related to G0372. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0343-HCPCS | Laparotomy for islet cell transplant, includes portal vein catheterization and infusion |
| G0372-HCPCS | Physician service required to establish and document the need for a power mobility device |
| G0378-HCPCS | Hospital observation service, per hour |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0372. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0372 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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Frequently Asked Questions
Which revenue codes are billed with HCPCS G0372?
Hospital price transparency files list HCPCS G0372 under these revenue codes: 0521. A revenue code names the hospital department or charge category for the line; it does not change what the service is.