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See a sample rate comparisonHCPCS G8602 Fee Schedule
HCPCS G8602 is classified under Procedures / Professional Services, in the Additional Quality Measures subgroup.
Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well, reason not given
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G8602 by major payers:
$64.46
BCBS / Anthem
$54.00
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G8602
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G8602 vs. Other Additional Quality Measures Codes
The table lists codes related to G8602. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G8601-HCPCS | Low | Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well for reasons documented by clinician (e.g. patient enrolled in clinical trial for stroke, patient admitted for elective carotid intervention) |
| G8602-HCPCS | Low | Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well, reason not given |
| G8633-HCPCS | Low | Pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G8602. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G8602 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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