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See a sample rate comparisonHCPCS G0472 Fee Schedule
Medicare rates as of January 2026
HCPCS G0472 is classified under Procedures / Professional Services, in the Other Services subgroup.
Hepatitis C antibody screening, for individual at high risk and other covered indication(s)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Common Revenue Codes | 03020300Sign up to view all 3 |
| Medicare Fee Schedule | $46.35 national lab fee schedule rate (2026)View Medicare rates for G0472 |
| Medicaid Fee Schedule | $45.19 median of the 7 states in the free previewView Medicaid rates for G0472 |
National average reimbursement for HCPCS G0472 by major payers:
$56.99
BCBS / Anthem
$21.07
UnitedHealthcare
$37.05
Aetna
$40.72
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0472.
HCPCS G0472
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$93.91Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$27.80Published rateSalma Yahya
Siskiyou Pediatric Clinic LLP
$19.46Published rateLakeview Medical Center, LLC, Lakeview Regional Medical Center
$17.50Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$8.15Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0472 vs. Other Other Services Codes
The table lists codes related to G0472. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0471-HCPCS | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (SNF) or by a laboratory on behalf of a home health agency (HHA) |
| G0472-HCPCS | Hepatitis C antibody screening, for individual at high risk and other covered indication(s) |
| G0473-HCPCS | Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0472. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0472 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 G0472?
Hospital price transparency files list HCPCS G0472 under these revenue codes: 0302, 0300 and 0301. A revenue code names the hospital department or charge category for the line; it does not change what the service is.