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See a sample rate comparisonHCPCS G8476 Fee Schedule
HCPCS G8476 is classified under Procedures / Professional Services, in the Additional Quality Measures subgroup.
Most recent blood pressure has a systolic measurement of < 140 mmHg and a diastolic measurement of < 90 mmHg
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G8476 by major payers:
$50.83
BCBS / Anthem
$38.31
UnitedHealthcare
$0.03
Aetna
$0.86
Cigna
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HCPCS G8476
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G8476 vs. Other Additional Quality Measures Codes
The table lists codes related to G8476. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G8475-HCPCS | Low | Angiotensin converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) therapy not prescribed, reason not given |
| G8476-HCPCS | Low | Most recent blood pressure has a systolic measurement of < 140 mmHg and a diastolic measurement of < 90 mmHg |
| G8477-HCPCS | Low | Most recent blood pressure has a systolic measurement of >=140 mmHg and/or a diastolic measurement of >=90 mmHg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G8476. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G8476 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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