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See a sample rate comparisonHCPCS G2213 Fee Schedule
Medicare rates as of October 2026
HCPCS G2213 is classified under Procedures / Professional Services, in the Evaluation and Care Management Services subgroup.
Initiation of medication for the treatment of opioid use disorder in the emergency department setting, including assessment, referral to ongoing care, and arranging access to supportive services (list separately in addition to code for primary procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Evaluation and Care Management Services |
| Complexity Level | Low |
| Medicare Fee Schedule | $66.47 national non-facility rate (2026) · View Medicare rates for G2213 |
| Medicaid Fee Schedule | $55.235 median of the 8 states in the free preview · View Medicaid rates for G2213 |
National average reimbursement for HCPCS G2213 by major payers:
$85.32
BCBS / Anthem
$87.55
UnitedHealthcare
$70.71
Aetna
$67.68
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G2213.
HCPCS G2213
5 of 25 sample ratesHigher to lower in this preview
Aztec Urgent Care, LLC
Aztec Urgent Care LLC
$161.53Published rateKevin Schlessel
$108.12Published rateHospital Authority Of Jenkins County
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$92.70Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$85.68Published rateAlicia Encinas
Miguel A Arenas Md PC
$54.81Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G2213 vs. Other Evaluation and Care Management Services Codes
The table lists codes related to G2213. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G2212-HCPCS | Low | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) |
| G2213-HCPCS | Low | Initiation of medication for the treatment of opioid use disorder in the emergency department setting, including assessment, referral to ongoing care, and arranging access to supportive services (list separately in addition to code for primary procedure) |
| G2214-HCPCS | Low | Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2213. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2213 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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