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See a sample rate comparisonHCPCS G1027 Fee Schedule
HCPCS G1027 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 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
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Professional Services |
| Complexity Level | Low |
National average reimbursement for HCPCS G1027 by major payers:
$68.96
BCBS / Anthem
$N/A
UnitedHealthcare
$49.42
Aetna
$0.00
Cigna
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HCPCS G1027
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G1027 vs. Other Other Professional Services Codes
The table lists codes related to G1027. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| G1028-HCPCS | Low | Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G1027. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G1027 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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