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HCPCS G9083 Fee Schedule

HCPCS G9083 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.

Oncology; disease status; prostate cancer, limited to adenocarcinoma; extent of disease unknown, staging in progress, or not listed (for use in a Medicare-approved demonstration project)
Key FactDetail
Service Type

Procedures / Professional Services

Medicare Demonstration Projects

Complexity LevelLow

National average reimbursement for HCPCS G9083 by major payers:

BCBS / Anthem logo

$52.66

BCBS / Anthem

UnitedHealthcare logo

$9.62

UnitedHealthcare

Aetna logo

$0.25

Aetna

Cigna logo

$8.55

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS G9083.

HCPCS G9083
5 of 25 sample ratesHigher to lower in this preview
  1. David Epstein

    Brevard Physician Associates, PLLC

    FLDiagnostic Radiology PhysicianNPI 1033165865Tax ID 46-2439952

    $20.61Published rate
  2. Palmyra Park Hospital, Inc., Palmyra Medical Centers

    GAGeneral Acute Care HospitalNPI 1073567038Tax ID 72-1553462

    $11.10Published rate
  3. Clinch County Hospital Authority

    GACritical Access HospitalNPI 1861478851Tax ID 58-6011853

    $8.57Published rate
  4. Main Line Pathology Associates, PC

    Main Line Pathology Associates, P.C

    PAClinical Pathology/Laboratory Medicine PhysicianNPI 1548260482Tax ID 23-2786651

    $7.65Published rate
  5. Cindy Chang

    Miguel A Arenas Md PC

    AZFamily Nurse PractitionerNPI 1316561236Tax ID 30-0394179

    $5.96Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS G9083 vs. Other Medicare Demonstration Projects Codes

The table lists codes related to G9083. Select one to see its fee schedule.

CodeComplexityDescription
G9080-HCPCSLowOncology; disease status; prostate cancer, limited to adenocarcinoma; after initial treatment with rising PSA or failure of PSA decline (for use in a Medicare-approved demonstration project)
G9083-HCPCSLowOncology; disease status; prostate cancer, limited to adenocarcinoma; extent of disease unknown, staging in progress, or not listed (for use in a Medicare-approved demonstration project)
G9084-HCPCSLowOncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as T1-3, N0, M0 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 G9083. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the G9083 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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