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See a sample rate comparisonHCPCS G0554 Fee Schedule
Medicare rates as of October 2026
HCPCS G0554 is classified under Procedures / Professional Services, in the Other Services subgroup.
Each additional 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing data generated from the dmht device from patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $41.42 national non-facility rate (2026) · View Medicare rates for G0554 |
| Medicaid Fee Schedule | View Medicaid rates for G0554 |
National average reimbursement for HCPCS G0554 by major payers:
$43.96
BCBS / Anthem
$46.11
UnitedHealthcare
$24.80
Aetna
$177.05
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G0554.
HCPCS G0554
5 of 25 sample ratesHigher to lower in this preview
Kamran Rajaee
$131.88Published rateEmory Healthcare
$81.40Published rateHospital Authority Of Ben Hill, Dorminy Medical Center
$63.47Published rateTaylor Regional Hospital
$54.59Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$44.15Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0554 vs. Other Other Services Codes
| Code | Complexity | Description |
|---|---|---|
| G0554-HCPCS | Low | Each additional 20 minutes of monthly treatment management services directly related to the patient's therapeutic use of the digital mental health treatment (dmht) device that augments a behavioral therapy plan, physician/other qualified health care professional time reviewing data generated from the dmht device from patient observations and patient specific inputs in a calendar month and requiring at least one interactive communication with the patient/caregiver during the calendar month |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0554. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0554 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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