Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS G2074 Fee Schedule
HCPCS G2074 is classified under Procedures / Professional Services, in the Medication Assisted Treatment Programme subgroup.
Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Medication Assisted Treatment Programme |
| Complexity Level | Low |
| ASAM Level | Level 1 - Outpatient Services |
| Care Type | Medication Assisted Treatment |
| Setting | Outpatient |
| Medicaid Fee Schedule | $164.555 median of the 6 states in the free preview · View Medicaid rates for G2074 |
National average reimbursement for HCPCS G2074 by major payers:
$138.65
BCBS / Anthem
$164.06
UnitedHealthcare
$182.33
Aetna
$152.84
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G2074.
HCPCS G2074
5 of 5 sample ratesHigher to lower in this preview
Aztec Urgent Care, LLC
Aztec Urgent Care LLC
$346.10Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$346.10Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$219.05Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$219.05Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$219.05Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS G2074 vs. Other Medication Assisted Treatment Programme Codes
The table lists codes related to G2074. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G2073-HCPCS | Moderate | Medication assisted treatment, naltrexone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
| G2074-HCPCS | Low | Medication assisted treatment, weekly bundle not including the drug, including substance use counseling, individual and group therapy, and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) |
| G2075-HCPCS | Low | Medication assisted treatment, medication not otherwise specified; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2074. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2074 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
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS G2074) and we'll show you how you compare in 15 minutes or less.