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See a sample rate comparisonHCPCS G9117 Fee Schedule
HCPCS G9117 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
Oncology; disease status; ovarian cancer, limited to epithelial cancer; 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 G9117 by major payers:
$59.00
BCBS / Anthem
$9.62
UnitedHealthcare
$0.01
Aetna
$8.55
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS G9117.
HCPCS G9117
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$20.31Published rateTy Cobb Healthcare System, Cobb Memorial Hospital
Community Services Group Inc
$13.02Published rateAlicia Encinas
Miguel A Arenas Md PC
$10.18Published rateMonroe Hma, LLC, Clearview Regional Medical Center
Monroe Hma LLC
$7.80Published 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 G9117 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9117. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9116-HCPCS | Low | Oncology; disease status; ovarian cancer, limited to epithelial cancer; evidence of disease progression, or recurrence, and/or platinum resistance (for use in a Medicare-approved demonstration project) |
| G9117-HCPCS | Low | Oncology; disease status; ovarian cancer, limited to epithelial cancer; extent of disease unknown, staging in progress, or not listed (for use in a Medicare-approved demonstration project) |
| G9123-HCPCS | Low | Oncology; disease status; chronic myelogenous leukemia, limited to Philadelphia chromosome positive and/or BCR-ABL positive; chronic phase not in hematologic, cytogenetic, or molecular remission (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 G9117. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9117 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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