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See a sample rate comparisonHCPCS G2205 Fee Schedule
HCPCS G2205 is classified under Procedures / Professional Services, in the Clinician Documentation and Management Services subgroup.
Patients with pregnancy during adjuvant treatment course
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Clinician Documentation and Management Services |
| Complexity Level | Low |
National average reimbursement for HCPCS G2205 by major payers:
$71.25
BCBS / Anthem
$N/A
UnitedHealthcare
$49.42
Aetna
$0.00
Cigna
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HCPCS G2205
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See a sample payer proposalHCPCS G2205 vs. Other Clinician Documentation and Management Services Codes
The table lists codes related to G2205. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G2204-HCPCS | Low | Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period |
| G2205-HCPCS | Low | Patients with pregnancy during adjuvant treatment course |
| G2206-HCPCS | Low | Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2205. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2205 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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