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See a sample rate comparisonHCPCS G9065 Fee Schedule
HCPCS G9065 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as Stage III A (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (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 G9065 by major payers:
$52.13
BCBS / Anthem
$9.62
UnitedHealthcare
$0.40
Aetna
$5.71
Cigna
Compare published rates across providers.
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HCPCS G9065
5 of 25 sample ratesHigher to lower in this preview
Piedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$19.98Published rateBacon County Health Services, Inc, Bacon County Rural Health Clinic
Bacon County Health Services Inc
$11.86Published rateJulie Webster
Carolina Radiology Associates, LLC
$9.96Published 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 G9065 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9065. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9064-HCPCS | Low | Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as Stage II (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project) |
| G9065-HCPCS | Low | Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as Stage III A (prior to neo-adjuvant therapy, if any) with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project) |
| G9066-HCPCS | Low | Oncology; disease status; limited to non-small cell lung cancer; Stage III B- IV at diagnosis, metastatic, locally recurrent, or progressive (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 G9065. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9065 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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