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See a sample rate comparisonHCPCS G9954 Fee Schedule
HCPCS G9954 is classified under Procedures / Professional Services, in the Medications (Antiemetics and Antimicrobials) subgroup.
Patient exhibits 2 or more risk factors for post-operative vomiting
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Medications (Antiemetics and Antimicrobials) |
| Complexity Level | Low |
National average reimbursement for HCPCS G9954 by major payers:
$64.52
BCBS / Anthem
$N/A
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G9954
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See a sample payer proposalHCPCS G9954 vs. Other Medications (Antiemetics and Antimicrobials) Codes
The table lists codes related to G9954. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9949-HCPCS | Low | Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively |
| G9954-HCPCS | Low | Patient exhibits 2 or more risk factors for post-operative vomiting |
| G9955-HCPCS | Low | Cases in which an inhalational anesthetic is used only for induction |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9954. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9954 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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