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See a sample rate comparisonHCPCS G0411 Fee Schedule
HCPCS G0411 is classified under Procedures / Professional Services, in the Psychological Services subgroup.
Interactive group psychotherapy, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Psychological Services |
| Common Revenue Codes | 0915 |
| Medicaid Fee Schedule | View Medicaid rates for G0411 |
National average reimbursement for HCPCS G0411 by major payers:
$55.40
BCBS / Anthem
$54.00
UnitedHealthcare
$246.35
Aetna
$148.78
Cigna
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HCPCS G0411
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0411 vs. Other Psychological Services Codes
The table lists codes related to G0411. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0410-HCPCS | Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes |
| G0411-HCPCS | Interactive group psychotherapy, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes |
| G0412-HCPCS | Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0411. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0411 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 G0411?
Hospital price transparency files list HCPCS G0411 under these revenue codes: 0915. A revenue code names the hospital department or charge category for the line; it does not change what the service is.