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See a sample rate comparisonHCPCS G9188 Fee Schedule
HCPCS G9188 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
Beta-blocker therapy not prescribed, reason not given
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G9188 by major payers:
$69.94
BCBS / Anthem
$54.00
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G9188
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See a sample payer proposalHCPCS G9188 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9188. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9187-HCPCS | Low | Bundled payments for care improvement initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including, but not limited to, assessment of safety, falls, clinical status, fluid status, medication reconciliation/management, patient compliance with orders/plan of care, performance of activities of daily living, appropriateness of care setting; (for use only in the Medicare-approved bundled payments for care improvement initiative); may not be billed for a 30-day period covered by a transitional care management code |
| G9188-HCPCS | Low | Beta-blocker therapy not prescribed, reason not given |
| G9189-HCPCS | Low | Beta-blocker therapy prescribed or currently being taken |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9188. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9188 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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