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See a sample rate comparisonHCPCS G8395 Fee Schedule
HCPCS G8395 is classified under Procedures / Professional Services, in the Additional Quality Measures subgroup.
Left ventricular ejection fraction (LVEF) >= 40% or documentation as normal or mildly depressed left ventricular systolic function
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G8395 by major payers:
$69.93
BCBS / Anthem
$54.00
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G8395
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See a sample payer proposalHCPCS G8395 vs. Other Additional Quality Measures Codes
The table lists codes related to G8395. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G8395-HCPCS | Low | Left ventricular ejection fraction (LVEF) >= 40% or documentation as normal or mildly depressed left ventricular systolic function |
| G8396-HCPCS | Low | Left ventricular ejection fraction (LVEF) not performed or documented |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G8395. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G8395 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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