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See a sample rate comparisonHCPCS G2076 Fee Schedule
HCPCS G2076 is classified under Procedures / Professional Services, in the Opioid Use Disorder - Evaluation and Treatment subgroup.
Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Opioid Use Disorder - Evaluation and Treatment |
| Complexity Level | Low |
| ASAM Level | Level 1 - Outpatient Services |
| Care Type | Medication Assisted Treatment |
| Setting | Outpatient |
| Medicaid Fee Schedule | $202.37 median of the 6 states in the free preview · View Medicaid rates for G2076 |
National average reimbursement for HCPCS G2076 by major payers:
$145.62
BCBS / Anthem
$182.21
UnitedHealthcare
$192.84
Aetna
$257.79
Cigna
Compare published rates across providers.
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HCPCS G2076
5 of 5 sample ratesHigher to lower in this preview
Aztec Urgent Care, LLC
Aztec Urgent Care LLC
$368.48Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$368.48Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$233.22Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$233.22Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$233.22Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G2076 vs. Other Opioid Use Disorder - Evaluation and Treatment Codes
The table lists codes related to G2076. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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) |
| G2076-HCPCS | Low | Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
| G2077-HCPCS | Low | Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2076. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2076 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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