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See a sample rate comparisonHCPCS G0499 Fee Schedule
Medicare rates as of January 2026
HCPCS G0499 is classified under Procedures / Professional Services, in the Other Services subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $28.27 national lab fee schedule rate (2026) · View Medicare rates for G0499 |
| Medicaid Fee Schedule | $27.985 median of the 8 states in the free preview · View Medicaid rates for G0499 |
National average reimbursement for HCPCS G0499 by major payers:
$28.00
BCBS / Anthem
$19.00
UnitedHealthcare
$31.30
Aetna
$24.53
Cigna
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HCPCS G0499
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$68.24Published rateWoman'S Hospital Foundation, Woman'S Hospital
Womans Hospital Foundation
$28.27Published rateSurgical Specialty Center Of Baton Rouge, LLC, Surgical Specialty Center Of Baton Rouge
Surgical Specialty Center Of Baton Rouge, LLC
$28.27Published rateProgressive Emergency Physicians PLLC
$12.71Published ratePark Place Surgery Center, LLC, Park Place Surgical Hospital
Park Place Surgical Hospital
$10.18Published rate
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See a sample payer proposalHCPCS G0499 vs. Other Other Services Codes
The table lists codes related to G0499. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| G0500-HCPCS | Low | Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0499. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0499 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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