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See a sample rate comparisonHCPCS G9123 Fee Schedule
HCPCS G9123 is classified under Procedures / Professional Services, in the Medicare Demonstration Projects subgroup.
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)
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Medicare Demonstration Projects |
| Complexity Level | Low |
National average reimbursement for HCPCS G9123 by major payers:
$58.99
BCBS / Anthem
$9.62
UnitedHealthcare
$1.72
Aetna
$4.48
Cigna
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HCPCS G9123
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$18.00Published rateUjuka Iloabuchi
$14.30Published rateJulie Webster
Musc Community Physicians
$10.52Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$8.46Published 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 G9123 vs. Other Medicare Demonstration Projects Codes
The table lists codes related to G9123. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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) |
| G9124-HCPCS | Low | Oncology; disease status; chronic myelogenous leukemia, limited to Philadelphia chromosome positive and/or BCR-ABL positive; accelerated 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 G9123. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9123 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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