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See a sample rate comparisonHCPCS G2206 Fee Schedule
HCPCS G2206 is classified under Procedures / Professional Services, in the Clinician Documentation and Management Services subgroup.
Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Clinician Documentation and Management Services |
| Complexity Level | Low |
National average reimbursement for HCPCS G2206 by major payers:
$71.25
BCBS / Anthem
$N/A
UnitedHealthcare
$49.42
Aetna
$0.00
Cigna
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HCPCS G2206
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G2206 vs. Other Clinician Documentation and Management Services Codes
The table lists codes related to G2206. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| G2207-HCPCS | Low | Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky <=50), cardiac contraindications, insufficient renal function, insufficient hepatic function, other active or secondary cancer diagnoses, other medical contraindications, patients who died during initial treatment course or transferred during or after initial treatment course) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2206. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2206 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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