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See a sample rate comparisonHCPCS G1028 Fee Schedule
HCPCS G1028 is classified under Procedures / Professional Services, in the Other Professional Services subgroup.
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
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Other Professional Services |
| Complexity Level | Low |
| Medicaid Fee Schedule | $126.94 median of the 3 states in the free preview · View Medicaid rates for G1028 |
National average reimbursement for HCPCS G1028 by major payers:
$106.56
BCBS / Anthem
$125.00
UnitedHealthcare
$130.40
Aetna
$165.26
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G1028.
HCPCS G1028
5 of 5 sample ratesHigher to lower in this preview
Aztec Urgent Care, LLC
Aztec Urgent Care LLC
$202.17Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$202.17Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$127.95Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$127.95Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$127.95Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G1028 vs. Other Other Professional Services Codes
The table lists codes related to G1028. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| G2000-HCPCS | Moderate | Blinded administration of convulsive therapy procedure, either electroconvulsive therapy (ect, current covered gold standard) or magnetic seizure therapy (mst, non-covered experimental therapy), performed in an approved ide-based clinical trial, per treatment session |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G1028. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G1028 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.
FREE SAMPLE MARKET COMPARISON
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