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See a sample rate comparisonHCPCS G9110 Fee Schedule
HCPCS G9110 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
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 T3-4 and/or N1-3, 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)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Medicare Demonstration Projects |
| Complexity Level | Low |
National average reimbursement for HCPCS G9110 by major payers:
$61.09
BCBS / Anthem
$9.62
UnitedHealthcare
$0.25
Aetna
$6.51
Cigna
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HCPCS G9110
5 of 25 sample ratesHigher to lower in this preview
Leigh Taylor
$22.78Published rateChu Chen
$16.09Published rateJulie Webster
Musc Community Physicians
$10.52Published rateTexas Radiology Associates LLP
Texas Radiology Associates, LLP
$8.43Published rateMichael Koch
Pathology Lab Of Georgia LLC
$7.65Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G9110 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9110. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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) |
| G9110-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 T3-4 and/or N1-3, 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) |
| G9111-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; 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 G9110. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9110 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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