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See a sample rate comparisonHCPCS G0492 Fee Schedule
HCPCS G0492 is classified under Procedures / Professional Services, in the Other Services subgroup.
Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
National average reimbursement for HCPCS G0492 by major payers:
$83.43
BCBS / Anthem
$N/A
UnitedHealthcare
$625.43
Aetna
$45.00
Cigna
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HCPCS G0492
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0492 vs. Other Other Services Codes
The table lists codes related to G0492. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0491-HCPCS | Dialysis procedure at a medicare certified ESRD facility for acute kidney injury without ESRD |
| G0492-HCPCS | Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD |
| G0493-HCPCS | Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition, each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0492. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0492 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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