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See a sample rate comparisonHCPCS G9498 Fee Schedule
HCPCS G9498 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
Antibiotic regimen prescribed
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
National average reimbursement for HCPCS G9498 by major payers:
$69.94
BCBS / Anthem
$N/A
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G9498
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See a sample payer proposalHCPCS G9498 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9498. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G9497-HCPCS | Received instruction from the anesthesiologist or proxy prior to the day of surgery to abstain from smoking on the day of surgery |
| G9498-HCPCS | Antibiotic regimen prescribed |
| G9500-HCPCS | Radiation exposure indices documented in final report for procedure using fluoroscopy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9498. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9498 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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