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See a sample rate comparisonHCPCS G9084 Fee Schedule
HCPCS G9084 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
Oncology; 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)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Medicare Demonstration Projects |
| Complexity Level | Low |
National average reimbursement for HCPCS G9084 by major payers:
$52.14
BCBS / Anthem
$9.62
UnitedHealthcare
$0.39
Aetna
$5.40
Cigna
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HCPCS G9084
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$27.04Published rateEmory Crawford Long Hospital
Emory University
$17.28Published rateManlio Goetzl
$12.64Published rateDonalsonville Hospital Inc
$8.57Published rateMarc Stiefel
Pinnacle Ent Alliance, LLC
$6.51Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9084 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9084. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9083-HCPCS | Low | 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) |
| G9084-HCPCS | Low | Oncology; 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) |
| G9085-HCPCS | Low | Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as T4, 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 G9084. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9084 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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