HCPCS G0498 Fee Schedule

Last Verified: January 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion

Key Fact	Detail
Service Type	• Procedures / Professional Services • Other Services
Complexity Level	Moderate

National average reimbursement for HCPCS G0498 by major payers:

$289.08

$267.98

$199.70

$239.49

Preview provider-level rates for...

For billing codeHCPCS G0498

Payer	Code	Rate	NPI	Tax ID	State	Specialty
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS G0498
United	G0498	$312.61	1699035717 - ROBERT YOO	651205795	AZ	Hematology & Oncology Physician (207RH0003X)
United	G0498	$282.70	1437152436 - PARMJEET BANGHAR	942735850	AZ	Hematology & Oncology Physician (207RH0003X)
United	G0498	$389.52	1942425350 - RACHNA SHROFF	901074557	AZ	Hematology & Oncology Physician (207RH0003X)
United	G0498	$226.69	1144045998 - AMERICAN ONCOLOGY PARTNERS, P.A.	824681345	AZ	Hematology & Oncology Physician (207RH0003X)
United	G0498	$282.70	1750511051 - RISHI AGARWAL	942735850	AZ	Medical Oncology Physician (207RX0202X)
United	G0498	$438.54	1427023548 - RAMESH RAMANATHAN	232919472	AZ	Hematology & Oncology Physician (207RH0003X)
United	G0498	$141.97	1538386339 - NAVJEET K GANDHOK MD PLLC, SONORAN HEMATOLOGY AND ONCOLOGY	208391890	AZ	Hematology & Oncology Physician (207RH0003X)
United	G0498	$201.64	1184816332 - ABHINAV CHANDRA	866007596	AZ	Hematology & Oncology Physician (207RH0003X)
United	G0498	$342.89	1609017946 - CHENTHILMURUGAN RATHNASABAPATHY	900730387	AZ	Hematology & Oncology Physician (207RH0003X)
United	G0498	$256.39	1780979955 - SYED AKBAR	731636831	AZ	Hematology & Oncology Physician (207RH0003X)
United	G0498	$282.70	1700191947 - HERMINA FERNANDES	942735850	AZ	Hematology & Oncology Physician (207RH0003X)
United	G0498	$161.55	1053015008 - SAGE HEMATOLOGY AND ONCOLOGY PLC	922249519	AZ	Hematology & Oncology Physician (207RH0003X)
United	G0498	$282.70	1881733889 - JOHN BIBB	860181654	AZ	Medical Oncology Physician (207RX0202X)
United	G0498	$565.63	1801865175 - DONALD BROOKS	860938204	AZ	Hematology & Oncology Physician (207RH0003X)
United	G0498	$342.89	1760632442 - MANPREET CHADHA	900730387	AZ	Medical Oncology Physician (207RX0202X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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HCPCS G0498 vs. Other Other Services Codes

The HCPCS G0498 code is part of the Procedures / Professional Services services used for Other Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS G0498 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
G0496-HCPCS	Low	Skilled services of a licensed practical nurse (LPN), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes
G0498-HCPCS	Moderate	Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion
G0499-HCPCS	Low	Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0498. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the G0498 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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