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See a sample rate comparisonHCPCS G9087 Fee Schedule
HCPCS G9087 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; M1 at diagnosis, metastatic, locally recurrent, or progressive with current clinical, radiologic, or biochemical evidence of disease (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 G9087 by major payers:
$52.13
BCBS / Anthem
$9.62
UnitedHealthcare
$0.39
Aetna
$5.53
Cigna
Compare published rates across providers.
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HCPCS G9087
5 of 25 sample ratesHigher to lower in this preview
Childrens National Medical Center
Childrens Hospital
$17.29Published rateApril Leuzinger
Aztec Urgent Care LLC
$13.94Published rateJulie Webster
Carolina Radiology Associates, LLC
$9.96Published rateAmy Moore
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$7.88Published 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 G9087 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9087. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9086-HCPCS | Low | Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; extent of disease initially established as T1-4, N1-2, M0 with no evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project) |
| G9087-HCPCS | Low | Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; M1 at diagnosis, metastatic, locally recurrent, or progressive with current clinical, radiologic, or biochemical evidence of disease (for use in a Medicare-approved demonstration project) |
| G9088-HCPCS | Low | Oncology; disease status; colon cancer, limited to invasive cancer, adenocarcinoma as predominant cell type; M1 at diagnosis, metastatic, locally recurrent, or progressive without current clinical, radiologic, or biochemical evidence of disease (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 G9087. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9087 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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