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See a sample rate comparisonHCPCS G9066 Fee Schedule
HCPCS G9066 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
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)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Medicare Demonstration Projects |
| Complexity Level | Low |
National average reimbursement for HCPCS G9066 by major payers:
$54.41
BCBS / Anthem
$9.62
UnitedHealthcare
$0.40
Aetna
$6.22
Cigna
Compare published rates across providers.
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HCPCS G9066
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$18.00Published rateDavid Epstein
Radiology Associates Of Clearwater, P.A.
$15.07Published rateCarolina Radiology Associates LLC
Carolina Radiology Associates, LLC
$11.10Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$8.57Published rateBama Heart Doc, P.C., Alabama Heart And Vascular Medicine
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$7.88Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9066 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9066. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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) |
| G9067-HCPCS | Low | Oncology; disease status; limited to non-small cell lung cancer; extent of disease unknown, staging in progress, or not listed (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 G9066. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9066 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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