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See a sample rate comparisonHCPCS G9792 Fee Schedule
HCPCS G9792 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
Most recent tobacco status is not tobacco free
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G9792 by major payers:
$72.22
BCBS / Anthem
$N/A
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G9792
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9792 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9792. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9791-HCPCS | Low | Most recent tobacco status is tobacco free |
| G9792-HCPCS | Low | Most recent tobacco status is not tobacco free |
| G9793-HCPCS | Low | Patient is currently on a daily aspirin or other antiplatelet |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9792. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9792 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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