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See a sample rate comparisonHCPCS G9108 Fee Schedule
HCPCS G9108 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; extent of disease unknown, staging in progress, or not listed (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 G9108 by major payers:
$58.99
BCBS / Anthem
$9.62
UnitedHealthcare
$0.01
Aetna
$4.38
Cigna
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HCPCS G9108
5 of 25 sample ratesHigher to lower in this preview
David Epstein
Brevard Physician Associates, PLLC
$20.61Published rateDevon Daney
Aztec Urgent Care LLC
$13.94Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$11.52Published rateJulie Webster
Carolina Radiology Associates, LLC
$9.96Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$6.51Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9108 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9108. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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) |
| G9108-HCPCS | Low | Oncology; disease status; pancreatic cancer, limited to adenocarcinoma; extent of disease unknown, staging in progress, or not listed (for use in a Medicare-approved demonstration project) |
| G9109-HCPCS | Low | Oncology; disease status; head and neck cancer, limited to cancers of oral cavity, pharynx and larynx with squamous cell as predominant cell type; extent of disease initially established as T1-T2 and N0, M0 (prior to neo-adjuvant therapy, if any) 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 G9108. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9108 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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