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See a sample rate comparisonHCPCS G0475 Fee Schedule
Medicare rates as of January 2026
HCPCS G0475 is classified under Procedures / Professional Services, in the Other Services subgroup.
Hiv antigen/antibody, combination assay, screening
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Common Revenue Codes | 03000302Sign up to view all 3 |
| Medicare Fee Schedule | $24.08 national lab fee schedule rate (2026)View Medicare rates for G0475 |
| Medicaid Fee Schedule | $23.60 median of the 7 states in the free previewView Medicaid rates for G0475 |
National average reimbursement for HCPCS G0475 by major payers:
$21.39
BCBS / Anthem
$16.79
UnitedHealthcare
$27.95
Aetna
$21.11
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0475.
HCPCS G0475
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$52.98Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$28.61Published rateTouro Infirmary
$19.81Published rateChristopher Raio
St Francis Hospital
$14.45Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$10.10Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0475 vs. Other Other Services Codes
The table lists codes related to G0475. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0473-HCPCS | Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes |
| G0475-HCPCS | Hiv antigen/antibody, combination assay, screening |
| G0476-HCPCS | Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0475. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0475 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 G0475?
Hospital price transparency files list HCPCS G0475 under these revenue codes: 0300, 0302 and 0301. A revenue code names the hospital department or charge category for the line; it does not change what the service is.