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See a sample rate comparisonHCPCS G0459 Fee Schedule
Medicare rates as of October 2026
HCPCS G0459 is classified under Procedures / Professional Services, in the Miscellaneous Services subgroup.
Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Miscellaneous Services |
| Medicare Fee Schedule | $39.75 national non-facility rate (2026)View Medicare rates for G0459 |
| Medicaid Fee Schedule | $32.60 median of the 5 states in the free previewView Medicaid rates for G0459 |
National average reimbursement for HCPCS G0459 by major payers:
$59.46
BCBS / Anthem
$55.81
UnitedHealthcare
$41.61
Aetna
$45.20
Cigna
Compare published rates across providers.
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HCPCS G0459
5 of 25 sample ratesHigher to lower in this preview
David Epstein
Brevard Physician Associates, PLLC
$115.54Published rateMichael Guillette
Aztec Urgent Care LLC
$79.98Published rateChristopher Raio
St Joseph Hospital
$57.92Published rateHospital Authority Of Liberty County, Liberty Regional Medical Center
$45.83Published rateCindy Chang
Miguel A Arenas Md PC
$32.20Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0459 vs. Other Miscellaneous Services Codes
The table lists codes related to G0459. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0458-HCPCS | Low dose rate (LDR) prostate brachytherapy services, composite rate |
| G0459-HCPCS | Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy |
| G0460-HCPCS | Autologous platelet rich plasma or other blood-derived product for non-diabetic chronic wounds/ulcers, including as applicable phlebotomy, centrifugation or mixing, and all other preparatory procedures, administration and dressings, per treatment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0459. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0459 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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