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See a sample rate comparisonHCPCS G0659 Fee Schedule
Medicare rates as of January 2026
HCPCS G0659 is classified under Procedures / Professional Services, in the Other Services subgroup.
Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem), excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $62.14 national lab fee schedule rate (2026) · View Medicare rates for G0659 |
| Medicaid Fee Schedule | $58.26 median of the 8 states in the free preview · View Medicaid rates for G0659 |
National average reimbursement for HCPCS G0659 by major payers:
$48.92
BCBS / Anthem
$41.59
UnitedHealthcare
$64.79
Aetna
$54.08
Cigna
Compare published rates across providers.
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HCPCS G0659
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$150.01Published rateHomer Memorial Hospital, Claiborne Memorial Medical Center
Homer Memorial Hospital
$71.83Published rateProgressive Acute Care Avoyelles, LLC, Avoyelles Hospital
$55.93Published rateSabine Medical Center
$37.27Published rateKarlie Ryan
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$26.10Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0659 vs. Other Other Services Codes
The table lists codes related to G0659. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G0518-HCPCS | Moderate | Removal with reinsertion, non-biodegradable drug delivery implants, 4 or more (services for subdermal implants) |
| G0659-HCPCS | Low | Drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to GC/MS (any type, single or tandem) and LC/MS (any type, single or tandem), excluding immunoassays (e.g., IA, EIA, ELISA, EMIT, FPIA) and enzymatic methods (e.g., alcohol dehydrogenase), performed without method or drug-specific calibration, without matrix-matched quality control material, or without use of stable isotope or other universally recognized internal standard(s) for each drug, drug metabolite or drug class per specimen; qualitative or quantitative, all sources, includes specimen validity testing, per day, any number of drug classes |
| G0913-HCPCS | Low | Improvement in visual function achieved within 90 days following cataract surgery |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0659. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0659 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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