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See a sample rate comparisonHCPCS G8752 Fee Schedule
HCPCS G8752 is classified under Procedures / Professional Services, in the More Quality Measures subgroup.
Most recent systolic blood pressure < 140 mmHg
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services More Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G8752 by major payers:
$50.27
BCBS / Anthem
$54.00
UnitedHealthcare
$0.02
Aetna
$0.92
Cigna
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HCPCS G8752
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See a sample payer proposalHCPCS G8752 vs. Other More Quality Measures Codes
The table lists codes related to G8752. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G8749-HCPCS | Low | Absence of signs of melanoma (tenderness, jaundice, localized neurologic signs such as weakness, or any other sign suggesting systemic spread) or absence of symptoms of melanoma (cough, dyspnea, pain, paresthesia, or any other symptom suggesting the possibility of systemic spread of melanoma) |
| G8752-HCPCS | Low | Most recent systolic blood pressure < 140 mmHg |
| G8753-HCPCS | Low | Most recent systolic blood pressure >= 140 mmHg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G8752. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G8752 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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