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See a sample rate comparisonHCPCS G0453 is classified under Procedures / Professional Services, in the Miscellaneous Services subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Services |
| Add-on Code For | 9582295860Sign up to view all 28 |
| Common Revenue Codes | 03600361Sign up to view all 6 |
| Medicare Fee Schedule | $27.39 national non-facility rate (2026)View Medicare rates for G0453 |
| Medicaid Fee Schedule | $23.725 median of the 8 states in the free previewView Medicaid rates for G0453 |
National average reimbursement for HCPCS G0453 by major payers:

$40.29
BCBS / Anthem

$40.52
UnitedHealthcare

$47.22
Aetna

$34.05
Cigna
Choose a payer to see a sample of rates for HCPCS G0453.
H. Lee Moffitt Cancer Center And Research Institute Hospital, Inc.
H Lee Moffitt Cancer Center And Research Institute Hospital Inc
Maricopa County Special Health Care District, Maricopa Integrated Heatlh
St Francis Medical Center, Inc
St Francis Medical Center Inc
Slent Investments, LLC, Slent Surgery Center
Slent Investments LLC
Miguel Arenas
Miguel A Arenas Md PC
Choose your state and specialty to build a report from payer-published rates.
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS G0453 vs. Other Miscellaneous Services Codes
The table lists codes related to G0453. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0452-HCPCS | Molecular pathology procedure; physician interpretation and report |
| G0453-HCPCS | Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) |
| G0454-HCPCS | Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0453. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0453 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.
Bring your top codes (like HCPCS G0453) and we'll show you how you compare in 15 minutes or less.
Yes. CMS add-on code edits list HCPCS G0453 as an add-on code, billed with a primary code. Its primary codes: including 95822, 95860, 95861, 95863 and 95864.
Hospital price transparency files list HCPCS G0453 under these revenue codes: including 0360, 0361, 0362, 0367 and 0369. A revenue code names the hospital department or charge category for the line; it does not change what the service is.