HCPCS G6015 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Procedures / Professional Services • Radiation Therapy Services |
| Complexity Level | Moderate |
National average reimbursement for HCPCS G6015 by major payers:
$483.22
$512.63
$441.94
$394.92
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS G6015 | ||||||
United | G6015 | $473.51 | 1891768768 - WILLIAM ERLY | 593238640 - H LEE MOFFITT CANCER CTR & RES INST LIFE TIME CANCER SCRN CTR INC | AZ | Diagnostic Radiology Physician (2085R0202X) |
United | G6015 | $532.19 | 1235196510 - FLORIDA HEALTH SCIENCES CENTER INC, TAMPA GENERAL HOSPITAL | 593458145 - FLORIDA HEALTH SCIENCES CENTER INC | FL | General Acute Care Hospital (282N00000X) |
United | G6015 | $285.07 | 1629212055 - FELIPE COLLARES | 262909414 - MILLENNIUM PHYSICIAN GROUP, LLC | FL | Diagnostic Radiology Physician (2085R0202X) |
United | G6015 | $739.84 | 1013973882 - SUKHENDER SINGIREDDY | 331187098 - (FL) SUNCOAST VEIN & VASCULAR CLINIC | FL | Diagnostic Radiology Physician (2085R0202X) |
United | G6015 | $625.66 | 1326536400 - ANDREW BARNHILL | 463465037 - (NE) THINK AKSARBEN LLC | FL | Diagnostic Radiology Physician (2085R0202X) |
United | G6015 | $489.60 | 1275614612 - JOSEPH KAVANAGH | 481163756 - KANSAS UNIVERSITY PHYSICIANS INC | FL | Diagnostic Radiology Physician (2085R0202X) |
United | G6015 | $328.01 | 1033113816 - CHRISTOPHER GOVEA | 370661183 - BLESSING HOSPITAL | FL | Diagnostic Radiology Physician (2085R0202X) |
United | G6015 | $2059.05 | 1801203724 - JENNIFER PITTS | 941156581 - SUTTER BAY MEDICAL FOUNDATION | FL | Diagnostic Radiology Physician (2085R0202X) |
United | G6015 | $517.09 | 1285861708 - CHRISTOPHER MAROULES | 540549603 - (VA) CARILION GILES COMMUNITY HOSPITAL | FL | Diagnostic Radiology Physician (2085R0202X) |
United | G6015 | $430.85 | 1376801100 - GERALDINE LIAO | 113465690 | FL | Diagnostic Radiology Physician (2085R0202X) |
United | G6015 | $558.47 | 1427584374 - ALEXANDRA BESSER | 460391067 - PRAIRIE LAKES HEALTH CARE SYSTEM INC | MN | Diagnostic Radiology Physician (2085R0202X) |
United | G6015 | $407.26 | 1457405060 - OPEN MRI AND CT OF SOUTH MIAMI, LLC, DELRAY DIAGNOSTICS | 650891853 | FL | Diagnostic Radiology Physician (2085R0202X) |
United | G6015 | $425.52 | 1235179706 - GERMAINE RODRIGUEZ | 591372690 - (FL) COMMUNITY HEALTH OF SOUTH FLORIDA INC | FL | Diagnostic Radiology Physician (2085R0202X) |
United | G6015 | $797.27 | 1407072150 - ANDREW MILLS | 462931956 - (NY) MONTEFIORE NEW ROCHELLE HOSPITAL | FL | Diagnostic Radiology Physician (2085R0202X) |
United | G6015 | $895.34 | 1821218231 - PATRICIA GERAGHTY | 262157500 | FL | Diagnostic Radiology Physician (2085R0202X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS G6015 vs. Other Radiation Therapy Services Codes
The HCPCS G6015 code is part of the Procedures / Professional Services services used for Radiation Therapy Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS G6015 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| G6014-HCPCS | Moderate | Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 MeV or greater |
| G6015-HCPCS | Moderate | Intensity modulated treatment delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC, per treatment session |
| G6016-HCPCS | Moderate | Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G6015. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G6015 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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