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See a sample rate comparisonHCPCS G2216 Fee Schedule
HCPCS G2216 is classified under Procedures / Professional Services, in the Take Home Supplies subgroup.
Take-home supply of injectable naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Take Home Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G2216 |
National average reimbursement for HCPCS G2216 by major payers:
$78.84
BCBS / Anthem
$N/A
UnitedHealthcare
$89.03
Aetna
$121.67
Cigna
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HCPCS G2216
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G2216 vs. Other Take Home Supplies Codes
The table lists codes related to G2216. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G2215-HCPCS | Low | Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
| G2216-HCPCS | Low | Take-home supply of injectable naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure |
| G2250-HCPCS | Low | Remote assessment of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G2216. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G2216 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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