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See a sample rate comparisonHCPCS G9156 Fee Schedule
HCPCS G9156 is classified under Procedures / Professional Services, in the Provider Assessment for Wheelchair subgroup.
Evaluation for wheelchair requiring face to face visit with physician
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Provider Assessment for Wheelchair |
| Complexity Level | Low |
National average reimbursement for HCPCS G9156 by major payers:
$60.03
BCBS / Anthem
$12.55
UnitedHealthcare
$0.01
Aetna
$9.78
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G9156.
HCPCS G9156
5 of 25 sample ratesHigher to lower in this preview
David Epstein
Brevard Physician Associates, PLLC
$26.89Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Emory University
$17.94Published rateAlicia Encinas
Miguel A Arenas Md PC
$13.30Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$11.00Published rateAlicia Encinas
Miguel A Arenas Md PC
$8.03Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9156 vs. Other Provider Assessment for Wheelchair Codes
The table lists codes related to G9156. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9153-HCPCS | Low | MAPCP Demonstration - Physician Incentive Pool |
| G9156-HCPCS | Low | Evaluation for wheelchair requiring face to face visit with physician |
| G9157-HCPCS | Low | Transesophageal Doppler Measurement Of Cardiac Output (Including Probe Placement, Image Acquisition, And Interpretation Per Course Of Treatment) For Monitoring Purposes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9156. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9156 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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