Rate Benchmarking
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See a sample rate comparisonHCPCS G9062 Fee Schedule
HCPCS G9062 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
Oncology; practice guidelines; management differs from guidelines for other reason(s) not 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 G9062 by major payers:
$59.11
BCBS / Anthem
$9.63
UnitedHealthcare
$0.01
Aetna
$8.53
Cigna
Compare published rates across providers.
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HCPCS G9062
5 of 25 sample ratesHigher to lower in this preview
Arthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$24.77Published rateUjuka Iloabuchi
$14.31Published rateJulie Webster
Musc Community Physicians
$10.53Published rateChatuge Regional Hospital Inc
$8.59Published 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 G9062 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9062. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9061-HCPCS | Low | Oncology; practice guidelines; patient's condition not addressed by available guidelines (for use in a Medicare-approved demonstration project) |
| G9062-HCPCS | Low | Oncology; practice guidelines; management differs from guidelines for other reason(s) not listed (for use in a Medicare-approved demonstration project) |
| G9063-HCPCS | Low | Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as Stage I (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (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 G9062. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9062 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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