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See a sample rate comparisonHCPCS G9386 Fee Schedule
HCPCS G9386 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
Screening for HCV infection not received within the 12 month reporting period, reason not given
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G9386 by major payers:
$71.06
BCBS / Anthem
$51.00
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G9386
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9386 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9386. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9385-HCPCS | Low | Documentation of patient reason(s) for not receiving annual screening for HCV infection (e.g., patient declined, other patient reasons) |
| G9386-HCPCS | Low | Screening for HCV infection not received within the 12 month reporting period, reason not given |
| G9393-HCPCS | Low | Patient with an initial PHQ-9 score greater than nine who achieves remission at twelve months as demonstrated by a twelve month (+/- 30 days) PHQ-9 score of less than five |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9386. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9386 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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