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See a sample rate comparisonHCPCS G9868 Fee Schedule
Medicare rates as of October 2026
HCPCS G9868 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, less than 10 minutes
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
| Medicare Fee Schedule | $26.72 national non-facility rate (2026) · View Medicare rates for G9868 |
| Medicaid Fee Schedule | $26.92 median of the 3 states in the free preview · View Medicaid rates for G9868 |
National average reimbursement for HCPCS G9868 by major payers:
$36.98
BCBS / Anthem
$36.53
UnitedHealthcare
$27.79
Aetna
$28.86
Cigna
Compare published rates across providers.
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HCPCS G9868
5 of 25 sample ratesHigher to lower in this preview
Aaron Askew
Praxis Health, P.C.
$66.40Published rateEmory Crawford Long Hospital
Emory University
$58.36Published rateMichael Guillette
Aztec Urgent Care LLC
$49.59Published rateHospital Authority Of Jenkins County
$34.29Published rateCindy Chang
Miguel A Arenas Md PC
$22.39Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9868 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9868. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9862-HCPCS | Low | Documentation of medical reason(s) for not recommending at least a 10 year follow-up interval (e.g., inadequate prep, familial or personal history of colonic polyps, patient had no adenoma and age is = 66 years old, or life expectancy < 10 years old, other medical reasons) |
| G9868-HCPCS | Low | Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, less than 10 minutes |
| G9869-HCPCS | Low | Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, 10-20 minutes |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9868. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9868 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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