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See a sample rate comparisonHCPCS G0435 Fee Schedule
Medicare rates as of January 2026
HCPCS G0435 is classified under Procedures / Professional Services, in the Laboratory Screening Tests subgroup.
Infectious agent antibody detection by rapid antibody test, HIV-1 and/or HIV-2, screening
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Laboratory Screening Tests |
| Common Revenue Codes | 03020301Sign up to view all 3 |
| Medicare Fee Schedule | $11.98 national lab fee schedule rate (2026)View Medicare rates for G0435 |
| Medicaid Fee Schedule | $11.86 median of the 8 states in the free previewView Medicaid rates for G0435 |
National average reimbursement for HCPCS G0435 by major payers:
$11.67
BCBS / Anthem
$8.61
UnitedHealthcare
$11.58
Aetna
$10.53
Cigna
Compare published rates across providers.
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HCPCS G0435
5 of 25 sample ratesHigher to lower in this preview
Lasalle Parish Hospital Service Dist No1, Hardtner Medical Center
Hardtner Medical Center
$22.20Published rateJulie Webster
Musc Community Physicians
$13.18Published rateSt Francis Medical Center, Inc
St Francis Medical Center Inc
$11.97Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$6.21Published ratePark Place Surgery Center, LLC, Park Place Surgical Hospital
Park Place Surgical Hospital
$4.30Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0435 vs. Other Laboratory Screening Tests Codes
The table lists codes related to G0435. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0433-HCPCS | Infectious agent antibody detection by enzyme-linked immunosorbent assay (ELISA) technique, HIV-1 and/or HIV-2, screening |
| G0435-HCPCS | Infectious agent antibody detection by rapid antibody test, HIV-1 and/or HIV-2, screening |
| G0438-HCPCS | Annual wellness visit; includes a personalized prevention plan of service (PPPS), initial visit |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0435. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0435 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 G0435?
Hospital price transparency files list HCPCS G0435 under these revenue codes: 0302, 0301 and 0300. A revenue code names the hospital department or charge category for the line; it does not change what the service is.