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See a sample rate comparisonHCPCS G8477 Fee Schedule
HCPCS G8477 is classified under Procedures / Professional Services, in the Additional Quality Measures subgroup.
Most recent blood pressure has a systolic measurement of >=140 mmHg and/or 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 G8477 by major payers:
$52.92
BCBS / Anthem
$38.10
UnitedHealthcare
$0.03
Aetna
$1.16
Cigna
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HCPCS G8477
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G8477 vs. Other Additional Quality Measures Codes
The table lists codes related to G8477. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| G8478-HCPCS | Low | Blood pressure measurement not performed or documented, reason not given |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G8477. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G8477 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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