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See a sample rate comparisonHCPCS G9016 Fee Schedule
HCPCS G9016 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only]
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Medicare Demonstration Projects |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G9016 |
National average reimbursement for HCPCS G9016 by major payers:
$50.81
BCBS / Anthem
$45.04
UnitedHealthcare
$19.13
Aetna
$23.50
Cigna
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HCPCS G9016
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See a sample payer proposalHCPCS G9016 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9016. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9014-HCPCS | Low | ESRD demo expanded bundle including venous access and related services |
| G9016-HCPCS | Low | Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] |
| G9050-HCPCS | Low | Oncology; primary focus of visit; work-up, evaluation, or staging at the time of cancer diagnosis or recurrence (for use in a Medicare-approved demonstration project) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9016. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9016 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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