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See a sample rate comparisonHCPCS G0490 Fee Schedule
HCPCS G0490 is classified under Procedures / Professional Services, in the Other Services subgroup.
Face-to-face home health nursing visit by a rural health clinic (RHC) or federally qualified health center (FQHC) in an area with a shortage of home health agencies; (services limited to RN or LPN only)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
National average reimbursement for HCPCS G0490 by major payers:
$49.59
BCBS / Anthem
$N/A
UnitedHealthcare
$30.24
Aetna
$104.73
Cigna
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HCPCS G0490
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0490 vs. Other Other Services Codes
The table lists codes related to G0490. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0483-HCPCS | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem and excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 22 or more drug class(es), including metabolite(s) if performed |
| G0490-HCPCS | Face-to-face home health nursing visit by a rural health clinic (RHC) or federally qualified health center (FQHC) in an area with a shortage of home health agencies; (services limited to RN or LPN only) |
| G0491-HCPCS | Dialysis procedure at a medicare certified ESRD facility for acute kidney injury without ESRD |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0490. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0490 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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