Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS G9873 Fee Schedule
HCPCS G9873 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
First Medicare Diabetes Prevention Program (MDPP) core session was attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP service that: (1) is furnished by an MDPP supplier during months 1 through 6 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for core sessions
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
| Medicaid Fee Schedule | $20.495 median of the 2 states in the free preview · View Medicaid rates for G9873 |
National average reimbursement for HCPCS G9873 by major payers:
$30.52
BCBS / Anthem
$32.28
UnitedHealthcare
$29.39
Aetna
$31.55
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G9873.
HCPCS G9873
5 of 25 sample ratesHigher to lower in this preview
Ujuka Iloabuchi
$65.25Published rateMichael Shuler
Athens Orthopedic Clinic, PA
$48.55Published rateJulie Webster
Carolina Radiology Associates, LLC
$32.50Published rateDonalsonville Hospital Inc
$28.00Published rateCindy Chang
Miguel A Arenas Md PC
$19.47Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS G9873 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9873. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9870-HCPCS | Low | Receipt and analysis of remote, asynchronous images for dermatologic and/or ophthalmologic evaluation, for use only in a medicare-approved cmmi model, more than 20 minutes |
| G9873-HCPCS | Low | First Medicare Diabetes Prevention Program (MDPP) core session was attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP service that: (1) is furnished by an MDPP supplier during months 1 through 6 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for core sessions |
| G9874-HCPCS | Low | Four total Medicare Diabetes Prevention Program (MDPP) core sessions were attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP service that: (1) is furnished by an MDPP supplier during months 1 through 6 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for core sessions. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9873. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9873 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS G9873) and we'll show you how you compare in 15 minutes or less.