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See a sample rate comparisonHCPCS G9675 Fee Schedule
HCPCS G9675 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
Patients who have ever had a fasting or direct laboratory result of LDL-C = 190 mg/dl
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G9675 by major payers:
$59.16
BCBS / Anthem
$N/A
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G9675
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See a sample payer proposalHCPCS G9675 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9675. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9674-HCPCS | Low | Patients with clinical ASCVD diagnosis |
| G9675-HCPCS | Low | Patients who have ever had a fasting or direct laboratory result of LDL-C = 190 mg/dl |
| G9676-HCPCS | Low | Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an LDL-C result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9675. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9675 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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