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See a sample rate comparisonHCPCS G1026 Fee Schedule
HCPCS G1026 is classified under Procedures / Professional Services, in the Other Professional Services subgroup.
The number of adult patient-months in the denominator who were on maintenance hemodialysis using a catheter continuously for three months or longer under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Professional Services |
| Complexity Level | Low |
National average reimbursement for HCPCS G1026 by major payers:
$68.96
BCBS / Anthem
$N/A
UnitedHealthcare
$49.42
Aetna
$N/A
Cigna
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HCPCS G1026
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G1026 vs. Other Other Professional Services Codes
The table lists codes related to G1026. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G1025-HCPCS | Low | Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month |
| G1026-HCPCS | Low | The number of adult patient-months in the denominator who were on maintenance hemodialysis using a catheter continuously for three months or longer under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month |
| G1027-HCPCS | Low | The number of adult patient-months in the denominator who were on maintenance hemodialysis under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month using a catheter continuously for less than three months |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G1026. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G1026 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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