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HCPCS S9124 Fee Schedule

Last Verified: December 2025

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.

Nursing care, in the home; by licensed practical nurse, per hour
Key FactDetail
Service Type

Temporary National Codes (Non-Medicare)

Miscellaneous Supplies and Services

Common Place of Service

None

99 - Other POS

Complexity LevelLow

National average reimbursement for HCPCS S9124 by major payers:

bcbs

$46.47

uhc

$39.50

aetna

$33.30

cigna

$23.67

Preview provider-level rates for...
For billing codeHCPCS S9124
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS S9124

United
S9124$37.501740752997 - PINE STREET HEALTHCARE PARTNERS, LLC, PRIME HOME HEALTH880331062 - (CA) AMERICAN UNITED HOME CARECAHome Health Agency (251E00000X)
United
S9124$45.001295870228 - PASADENA HOME HEALTH CARE611407441 - (CA) PASADENA HOME HEALTH CARECAHome Health Agency (251E00000X)
United
S9124$52.501457735748 - MOHAVE HEALTHCARE, INC., RIVER VALLEY HOME HEALTH474361783 - MOHAVE HEALTHCARE INCCAHome Health Agency (251E00000X)
United
S9124$65.001306069737 - ADVANCED HOME HEALTH INC208811790 - (CA) ADVANCED HOME HEALTH AND HOSPICE, INC.CAHome Health Agency (251E00000X)
United
S9124$45.001841329273 - CALIFORNIAS BEST HOME HEALTH SERVICES, INC208400782 - (CA) CALIFORNIAS BEST HOME HEALTH SERVICES INCCAHome Health Agency (251E00000X)
United
S9124$70.001972809838 - CAREONE HOME HEALTH AND HOSPICE, INC.274503248 - (CA) CAREONE HOME HEALTH & HOSPICE, INC.CAHome Health Agency (251E00000X)
United
S9124$45.001437135977 - VALLEY HOME HEALTH, INC.731629294 - (CA) VALLEY HOME HEALTH INCCAHome Health Agency (251E00000X)
United
S9124$62.501992048508 - SOUTH SPRINGS HOME HEALTH CARE, INC.611628431 - (CA) SOUTH SPRINGS HOME HEALTH CARE INCCAHome Health Agency (251E00000X)
United
S9124$45.001134306970 - PREMIER HEALTHCARE SERVICES, LLC, AVEANNA HEALTHCARE204078036 - PREMIER HEALTHCARE SERVICES, LLCCAHome Health Agency (251E00000X)
United
S9124$45.001083609853 - PRIORITY ONE HOME HEALTH SERVICES INC330910675 - (CA) PRIORITY ONE HOME HEALTH CARECAHome Health Agency (251E00000X)
United
S9124$50.001104136548 - AMARA HOME HEALTH, LLC, BRIDGE HOME HEALTH BAY AREA273665086 - (CA) AMARA HOME HEALTH LLCCAHome Health Agency (251E00000X)
United
S9124$45.001497880645 - A TO Z HOME HEALTH, INC.205622212 - (CA) A TO Z HOME HEALTH INCCAHome Health Agency (251E00000X)
United
S9124$45.001740699180 - PARENTIS HOME HEALTH CARE, INC., PARENTIS HOME HEALTH471556314 - (CA) PARENTIS HOME HEALTH CARE INCCAHome Health Agency (251E00000X)
United
S9124$45.001609853142 - HERALDS HOME HEALTH161638796 - (CA) HERALDS HOME HEALTHCAHome Health Agency (251E00000X)
United
S9124$45.001619900693 - INTEGRITY HOME CARE CORPORATION760738204 - (CA) INTEGRITY HOME CARE CORPORATIONCAHome Health Agency (251E00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS S9124 vs. Other Miscellaneous Supplies and Services Codes

The HCPCS S9124 code is part of the Temporary National Codes (Non-Medicare) services used for Miscellaneous Supplies and Services. 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 S9124 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.

CodeComplexityDescription
S9123-HCPCSLowNursing care, in the home; by registered nurse, per hour
S9124-HCPCSLowNursing care, in the home; by licensed practical nurse, per hour
S9125-HCPCSModerateRespite care, in the home, per diem

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS S9124. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the S9124 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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