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See a sample rate comparisonHCPCS G0543 Fee Schedule
Medicare rates as of October 2026
HCPCS G0543 is classified under Procedures / Professional Services, in the Other Services subgroup.
Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $22.05 national non-facility rate (2026) · View Medicare rates for G0543 |
| Medicaid Fee Schedule | $17.165 median of the 4 states in the free preview · View Medicaid rates for G0543 |
National average reimbursement for HCPCS G0543 by major payers:
$17.13
BCBS / Anthem
$15.25
UnitedHealthcare
$9.59
Aetna
$97.66
Cigna
Compare published rates across providers.
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HCPCS G0543
5 of 25 sample ratesHigher to lower in this preview
Jacob Holloway
$72.90Published rateColquitt Regional Medical Center
$42.36Published rateChristopher Chambers
Cooperative Healthcare Services Inc
$35.63Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$30.61Published rateChi Memorial Hospital
Chi Memorial Hospital - Georgia
$24.54Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0543 vs. Other Other Services Codes
| Code | Complexity | Description |
|---|---|---|
| G0543-HCPCS | Low | Group caregiver training in direct care strategies and techniques to support care for patients with an ongoing condition or illness and to reduce complications (including, but not limited to, techniques to prevent decubitus ulcer formation, wound care, and infection control) (without the patient present), face-to-face with multiple sets of caregivers |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0543. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0543 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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