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See a sample rate comparisonHCPCS G8710 Fee Schedule
HCPCS G8710 is classified under Procedures / Professional Services, in the More Quality Measures subgroup.
Patient prescribed antibiotic
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services More Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G8710 by major payers:
$65.36
BCBS / Anthem
$54.00
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G8710
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G8710 vs. Other More Quality Measures Codes
The table lists codes related to G8710. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G8709-HCPCS | Low | Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) |
| G8710-HCPCS | Low | Patient prescribed antibiotic |
| G8711-HCPCS | Low | Prescribed antibiotic on or within 3 days after the episode date |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G8710. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G8710 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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