HCPCS Q3001 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Temporary Codes • Other Drugs and Service Fees |
| Complexity Level | Low |
National average reimbursement for HCPCS Q3001 by major payers:
$44.87
$60.55
$54.10
$52.34
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS Q3001 | ||||||
United | Q3001 | $58.66 | 1497851760 - PAUL FISHMAN | 521138284 - (MD) UNIVERSITY OF MARYLAND NEUROLOGY ASSOCIATES PA | MD | Specialist (174400000X) |
United | Q3001 | $60.54 | 1194878355 - ALEXANDER AURORA | 61791551 - (MD) UPPER CHESAPEAKE SURGICAL ASSOCIATES LLC | MD | Surgery Physician (208600000X) |
United | Q3001 | $60.54 | 1548221054 - BENJAMIN OPARA | 521566211 - (MD) MARYLAND GENERAL CLINICAL PRACTICE GROUP INC | MD | Specialist (174400000X) |
United | Q3001 | $60.54 | 1760653448 - CENTER FOR INTERVENTIONAL MEDICINE, LLC, VIDAVASCULAR | 770707011 - (MD) CENTER FOR INTERVENTIONAL MEDICINE LLC | MD | Vascular & Interventional Radiology Physician (2085R0204X) |
United | Q3001 | $68.55 | 1417193376 - GIUSEPPE GIACCONE | 522218584 - (DC) MEDSTAR-GEORGETOWN MEDICAL CENTER INC | MD | Specialist (174400000X) |
United | Q3001 | $60.54 | 1245258466 - ANNE ARUNDEL GASTROENTEROLOGY ASSOCIATES PA | 521489785 - (MD) ANNE ARUNDEL GASTROENTEROLOGY ASSOCIATES, P.A. | MD | Specialist (174400000X) |
United | Q3001 | $87.80 | 1811991318 - JEFFREY KREMEN | 464217508 - (MD) MEDSTAR GOOD SAMARITAN PHYSICIANS LLC | MD | Vascular Surgery Physician (2086S0129X) |
United | Q3001 | $60.54 | 1144512682 - RAUL SEBASTIAN LAINES | 611297707 - (KY) CCMH CORPORATION | MD | Surgery Physician (208600000X) |
United | Q3001 | $63.58 | 1306809033 - PETER LIAO | 311586565 - THE MEDICAL CLINIC, P.A. | MD | Surgery Physician (208600000X) |
United | Q3001 | $60.54 | 1962432005 - PATRICK HYATT | 521495113 - ST PAUL PLACE SPECIALISTS INC | MD | Specialist (174400000X) |
United | Q3001 | $60.54 | 1124042577 - BALTIMORE COLORECTAL & SURGICAL | 202959069 - (MD) BALTIMORE COLORECTAL & SURGICAL SPECIALISTS, LLC | MD | Specialist (174400000X) |
United | Q3001 | $60.54 | 1891735965 - JOHN FLOWERS | 526049658 - GREATER BALTIMORE MEDICAL CENTER | MD | Surgery Physician (208600000X) |
United | Q3001 | $60.54 | 1518954411 - TONG MA | 521874111 - UNIVERSITY OF MARYLAND COMMUNITY MEDICAL GROUP INC | MD | Surgery Physician (208600000X) |
United | Q3001 | $87.80 | 1780643924 - FRANK CRIADO | 464237992 | MD | Vascular Surgery Physician (2086S0129X) |
United | Q3001 | $60.54 | 1356789622 - ROBERT REYES | 310745303 - (OH) COLUMBUS RADIOLOGY CORP. | MD | Vascular & Interventional Radiology Physician (2085R0204X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS Q3001 vs. Other Other Drugs and Service Fees Codes
The HCPCS Q3001 code is part of the Temporary Codes services used for Other Drugs and Service Fees. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS Q3001 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| Q2056-HCPCS | High | Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose |
| Q3001-HCPCS | Low | Radioelements for brachytherapy, any type, each |
| Q3014-HCPCS | Low | Telehealth originating site facility fee |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q3001. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q3001 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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