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See a sample rate comparisonHCPCS G0409 Fee Schedule
Medicare rates as of October 2026
HCPCS G0409 is classified under Procedures / Professional Services, in the Psychological Services subgroup.
Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a CORF-qualified social worker or psychologist in a CORF)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Psychological Services |
| Medicare Fee Schedule | $24.05 national non-facility rate (2026)View Medicare rates for G0409 |
| Medicaid Fee Schedule | View Medicaid rates for G0409 |
National average reimbursement for HCPCS G0409 by major payers:
$23.05
BCBS / Anthem
$16.33
UnitedHealthcare
$15.87
Aetna
$25.52
Cigna
Compare published rates across providers.
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HCPCS G0409
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$34.80Published rateDavid Epstein
Radiology Associates Of Clearwater, P.A.
$18.00Published rateMeriwether County Hospital Authority, Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$13.32Published rateHospital Authority Of Jenkins County
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$11.03Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$8.59Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0409 vs. Other Psychological Services Codes
The table lists codes related to G0409. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0408-HCPCS | Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth |
| G0409-HCPCS | Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a CORF-qualified social worker or psychologist in a CORF) |
| G0410-HCPCS | Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0409. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0409 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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