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See a sample rate comparisonHCPCS G9830 Fee Schedule
HCPCS G9830 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
HER-2/neu positive
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G9830 by major payers:
$70.64
BCBS / Anthem
$N/A
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G9830
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See a sample payer proposalHCPCS G9830 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9830. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9824-HCPCS | Low | Endometrial sampling or hysteroscopy with biopsy and results not documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation |
| G9830-HCPCS | Low | HER-2/neu positive |
| G9831-HCPCS | Low | AJCC Stage at breast cancer diagnosis = II Or III |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9830. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9830 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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