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HCPCS G0552 Fee Schedule

Last Verified: September 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.

Supply of digital mental health treatment device and initial education and onboarding, per course of treatment that augments a behavioral therapy plan
Key FactDetail
Service Type

Procedures / Professional Services

Other Services

Complexity LevelLow

National average reimbursement for HCPCS G0552 by major payers:

bcbs

$128.53

uhc

$100.20

aetna

$N/A

cigna

$398.84

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS G0552.

HCPCS G0552
2 of 2 sample ratesHigher to lower in this preview
  1. Aztec Urgent Care, LLC

    Aztec Urgent Care LLC

    NMUrgent Care Clinic/CenterNPI 1063741163Tax ID 27-1495988

    $203.61Published rate
  2. Aztec Urgent Care, LLC

    Aztec Urgent Care LLC

    NMUrgent Care Clinic/CenterNPI 1063741163Tax ID 27-1495988

    $128.86Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS G0552 vs. Other Other Services Codes

The HCPCS G0552 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 G0552 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.

CodeComplexityDescription
G0552-HCPCSLowSupply of digital mental health treatment device and initial education and onboarding, per course of treatment that augments a behavioral therapy plan

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0552. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the G0552 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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