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See a sample rate comparisonHCPCS M1067 Fee Schedule
HCPCS M1067 is classified under Screening Procedures, in the Hospice Services subgroup.
Hospice services for patient provided any time during the measurement period
| Key Fact | Detail |
|---|---|
| Service Type | Screening Procedures Hospice Services |
| Complexity Level | Low |
National average reimbursement for HCPCS M1067 by major payers:
$70.12
BCBS / Anthem
$N/A
UnitedHealthcare
$49.42
Aetna
$N/A
Cigna
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HCPCS M1067
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Payer Contract Negotiation
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See a sample payer proposalHCPCS M1067 vs. Other Hospice Services Codes
The table lists codes related to M1067. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| M1060-HCPCS | Low | Patient died prior to the end of the performance period |
| M1067-HCPCS | Low | Hospice services for patient provided any time during the measurement period |
| M1068-HCPCS | Low | Adults who are not ambulatory |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS M1067. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the M1067 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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