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See a sample rate comparisonHCPCS G8418 Fee Schedule
HCPCS G8418 is classified under Procedures / Professional Services, in the Additional Quality Measures subgroup.
BMI is documented below normal parameters and a follow-up plan is documented
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G8418 by major payers:
$57.73
BCBS / Anthem
$37.87
UnitedHealthcare
$0.03
Aetna
$1.16
Cigna
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HCPCS G8418
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See a sample payer proposalHCPCS G8418 vs. Other Additional Quality Measures Codes
The table lists codes related to G8418. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G8417-HCPCS | Low | BMI is documented above normal parameters and a follow-up plan is documented |
| G8418-HCPCS | Low | BMI is documented below normal parameters and a follow-up plan is documented |
| G8419-HCPCS | Low | BMI documented outside normal parameters, no follow-up plan documented, no reason given |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G8418. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G8418 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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