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See a sample rate comparisonHCPCS G2195 Fee Schedule
HCPCS G2195 is classified under Procedures / Professional Services, in the Clinician Documentation and Management Services subgroup.
Patients with clinical indications for imaging of the head: occipital headache in children
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Clinician Documentation and Management Services |
| Complexity Level | Low |
National average reimbursement for HCPCS G2195 by major payers:
$71.25
BCBS / Anthem
$N/A
UnitedHealthcare
$49.42
Aetna
$N/A
Cigna
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HCPCS G2195
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G2195 vs. Other Clinician Documentation and Management Services Codes
The table lists codes related to G2195. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G2194-HCPCS | Low | Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavior |
| G2195-HCPCS | Low | Patients with clinical indications for imaging of the head: occipital headache in children |
| G2196-HCPCS | Low | Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2195. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2195 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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