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See a sample rate comparisonHCPCS G9106 Fee Schedule
HCPCS G9106 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; post R1 or R2 resection with no evidence of disease progression, 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 G9106 by major payers:
$58.99
BCBS / Anthem
$9.62
UnitedHealthcare
$0.25
Aetna
$5.85
Cigna
Compare published rates across providers.
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HCPCS G9106
5 of 25 sample ratesHigher to lower in this preview
Scottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$24.73Published rateAnn Steck
Toledo Hospital
$12.46Published rateBradley Smith
Emergeortho, P.A.
$8.72Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$8.43Published 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 G9106 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9106. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9105-HCPCS | Low | Oncology; disease status; pancreatic cancer, limited to adenocarcinoma as predominant cell type; post R0 resection without evidence of disease progression, recurrence, or metastases (for use in a Medicare-approved demonstration project) |
| G9106-HCPCS | Low | Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; post R1 or R2 resection with no evidence of disease progression, or metastases (for use in a Medicare-approved demonstration project) |
| G9107-HCPCS | Low | Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; unresectable at diagnosis, M1 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 G9106. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9106 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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