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See a sample rate comparisonHCPCS G0420 Fee Schedule
Medicare rates as of October 2026
HCPCS G0420 is classified under Procedures / Professional Services, in the Face-to-Face Educational Services subgroup.
Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Face-to-Face Educational Services |
| Common Revenue Codes | 0942 |
| Medicare Fee Schedule | $113.56 national non-facility rate (2026)View Medicare rates for G0420 |
| Medicaid Fee Schedule | $86.255 median of the 8 states in the free previewView Medicaid rates for G0420 |
National average reimbursement for HCPCS G0420 by major payers:
$140.44
BCBS / Anthem
$142.96
UnitedHealthcare
$115.72
Aetna
$116.29
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0420.
HCPCS G0420
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$371.50Published rateBrooks County Hospital
$239.16Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$188.72Published rateAugusta Vamc
$144.96Published rateMichael Koch
Chestatee Pathology Associates PC
$114.31Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0420 vs. Other Face-to-Face Educational Services Codes
The table lists codes related to G0420. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0416-HCPCS | Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method |
| G0420-HCPCS | Face-to-face educational services related to the care of chronic kidney disease; individual, per session, per one hour |
| G0421-HCPCS | Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0420. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0420 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 G0420?
Hospital price transparency files list HCPCS G0420 under these revenue codes: 0942. A revenue code names the hospital department or charge category for the line; it does not change what the service is.