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See a sample rate comparisonHCPCS G9055 Fee Schedule
HCPCS G9055 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
Oncology; primary focus of visit; other, unspecified service not otherwise listed (for use in a Medicare-approved demonstration project)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Medicare Demonstration Projects |
| Complexity Level | Low |
National average reimbursement for HCPCS G9055 by major payers:
$59.89
BCBS / Anthem
$9.63
UnitedHealthcare
$0.01
Aetna
$6.23
Cigna
Compare published rates across providers.
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HCPCS G9055
5 of 25 sample ratesHigher to lower in this preview
David Epstein
Brevard Physician Associates, PLLC
$20.62Published rateJayne Bernier
Radiology Associates Of Clearwater, P.A.
$15.10Published rateAlicia Encinas
Miguel A Arenas Md PC
$10.19Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$8.43Published rateAlicia Encinas
Miguel A Arenas Md PC
$6.15Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9055 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9055. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9054-HCPCS | Low | Oncology; primary focus of visit; supervising, coordinating or managing care of patient with terminal cancer or for whom other medical illness prevents further cancer treatment; includes symptom management, end-of-life care planning, management of palliative therapies (for use in a Medicare-approved demonstration project) |
| G9055-HCPCS | Low | Oncology; primary focus of visit; other, unspecified service not otherwise listed (for use in a Medicare-approved demonstration project) |
| G9056-HCPCS | Low | Oncology; practice guidelines; management adheres to guidelines (for use in a Medicare-approved demonstration project) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9055. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9055 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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