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See a sample rate comparisonHCPCS G0406 Fee Schedule
Medicare rates as of October 2026
HCPCS G0406 is classified under Procedures / Professional Services, in the Followup Telehealth Consultations subgroup.
Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Followup Telehealth Consultations |
| Common Revenue Codes | 0960 |
| Medicare Fee Schedule | $36.07 national non-facility rate (2026)View Medicare rates for G0406 |
| Medicaid Fee Schedule | $31.85 median of the 8 states in the free previewView Medicaid rates for G0406 |
National average reimbursement for HCPCS G0406 by major payers:
$54.57
BCBS / Anthem
$49.83
UnitedHealthcare
$42.02
Aetna
$43.59
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0406.
HCPCS G0406
5 of 25 sample ratesHigher to lower in this preview
Piedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$100.30Published rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$65.45Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$43.15Published rateMain Line Pathology Associates, PC
Main Line Pathology Associates, P.C
$39.70Published rateAlicia Encinas
Miguel A Arenas Md PC
$31.89Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0406 vs. Other Followup Telehealth Consultations Codes
The table lists codes related to G0406. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0405-HCPCS | Electrocardiogram, routine ECG with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination |
| G0406-HCPCS | Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth |
| G0407-HCPCS | Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0406. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0406 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 G0406?
Hospital price transparency files list HCPCS G0406 under these revenue codes: 0960. A revenue code names the hospital department or charge category for the line; it does not change what the service is.