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See a sample rate comparisonHCPCS G9056 Fee Schedule
HCPCS G9056 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
Oncology; practice guidelines; management adheres to guidelines (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 G9056 by major payers:
$52.24
BCBS / Anthem
$9.63
UnitedHealthcare
$0.40
Aetna
$5.87
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G9056.
HCPCS G9056
5 of 25 sample ratesHigher to lower in this preview
Scottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$24.77Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$15.31Published rateWillamette Community Health Solutions, Cascade Health Solutions
$10.19Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$8.59Published rateCindy Chang
Miguel A Arenas Md PC
$5.98Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9056 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9056. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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) |
| G9057-HCPCS | Low | Oncology; practice guidelines; management differs from guidelines as a result of patient enrollment in an institutional review board approved clinical trial (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 G9056. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9056 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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