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See a sample rate comparisonHCPCS G9003 Fee Schedule
HCPCS G9003 is classified under Procedures / Professional Services, in the MCCD (Medicare Coordinated Care Demonstration) subgroup.
Coordinated care fee, risk adjusted high, initial
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services MCCD (Medicare Coordinated Care Demonstration) |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for G9003 |
National average reimbursement for HCPCS G9003 by major payers:
$211.66
BCBS / Anthem
$61.86
UnitedHealthcare
$0.78
Aetna
$773.40
Cigna
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HCPCS G9003
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9003 vs. Other MCCD (Medicare Coordinated Care Demonstration) Codes
The table lists codes related to G9003. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9002-HCPCS | Low | Coordinated care fee, maintenance rate |
| G9003-HCPCS | Moderate | Coordinated care fee, risk adjusted high, initial |
| G9004-HCPCS | Low | Coordinated care fee, risk adjusted low, initial |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9003. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9003 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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