Rate Benchmarking
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See a sample rate comparisonHCPCS G9060 Fee Schedule
HCPCS G9060 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
Oncology; practice guidelines; management differs from guidelines for reason(s) associated with patient comorbid illness or performance status not factored into 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 G9060 by major payers:
$59.12
BCBS / Anthem
$9.63
UnitedHealthcare
$0.24
Aetna
$5.52
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G9060.
HCPCS G9060
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 rateGood Samaritan Hospital, Inc., St. Mary'S Good Samaritan Hospital
Good Samaritan Hospital Inc
$12.65Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$9.97Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$8.43Published rateBrittany Ptachick
Hroa 401k Plan
$4.99Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9060 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9060. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9059-HCPCS | Low | Oncology; practice guidelines; management differs from guidelines because the patient, after being offered treatment consistent with guidelines, has opted for alternative treatment or management, including no treatment (for use in a Medicare-approved demonstration project) |
| G9060-HCPCS | Low | Oncology; practice guidelines; management differs from guidelines for reason(s) associated with patient comorbid illness or performance status not factored into guidelines (for use in a Medicare-approved demonstration project) |
| G9061-HCPCS | Low | Oncology; practice guidelines; patient's condition not addressed by available 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 G9060. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9060 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.
FREE SAMPLE MARKET COMPARISON
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