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See a sample rate comparisonHCPCS G8815 Fee Schedule
HCPCS G8815 is classified under Procedures / Professional Services, in the More Quality Measures subgroup.
Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services More Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G8815 by major payers:
$72.32
BCBS / Anthem
$54.00
UnitedHealthcare
$0.01
Aetna
$0.47
Cigna
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HCPCS G8815
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G8815 vs. Other More Quality Measures Codes
The table lists codes related to G8815. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G8808-HCPCS | Low | Trans-abdominal or trans-vaginal ultrasound not performed, reason not given |
| G8815-HCPCS | Low | Documented reason in the medical records for why the statin therapy was not prescribed (i.e., lower extremity bypass was for a patient with non-artherosclerotic disease) |
| G8816-HCPCS | Low | Statin medication prescribed at discharge |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G8815. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G8815 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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