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See a sample rate comparisonHCPCS G2081 Fee Schedule
HCPCS G2081 is classified under Procedures / Professional Services, in the Opioid Use Disorder - Evaluation and Treatment subgroup.
Patients age 66 and older in institutional special needs plans (snp) or residing in long-term care with a pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Opioid Use Disorder - Evaluation and Treatment |
| Complexity Level | Low |
National average reimbursement for HCPCS G2081 by major payers:
$71.25
BCBS / Anthem
$N/A
UnitedHealthcare
$0.01
Aetna
$0.00
Cigna
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HCPCS G2081
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See a sample payer proposalHCPCS G2081 vs. Other Opioid Use Disorder - Evaluation and Treatment Codes
The table lists codes related to G2081. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G2080-HCPCS | Low | Each additional 30 minutes of counseling in a week of medication assisted treatment, (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
| G2081-HCPCS | Low | Patients age 66 and older in institutional special needs plans (snp) or residing in long-term care with a pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period |
| G2082-HCPCS | Moderate | Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of up to 56 mg of esketamine nasal self-administration, includes 2 hours post-administration observation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2081. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2081 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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