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See a sample rate comparisonHCPCS G9735 Fee Schedule
HCPCS G9735 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
Patient unable to complete the shoulder fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G9735 by major payers:
$72.10
BCBS / Anthem
$N/A
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G9735
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9735 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9735. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9734-HCPCS | Low | Patient refused to participate |
| G9735-HCPCS | Low | Patient unable to complete the shoulder fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available |
| G9736-HCPCS | Low | Patient refused to participate |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9735. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9735 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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