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See a sample rate comparisonHCPCS G9841 Fee Schedule
HCPCS G9841 is classified under Procedures / Professional Services, in the Additional Assorted Quality Measures subgroup.
RAS (KRAS and NRAS) gene mutation testing not performed before initiation of anti-EGFR moab
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Additional Assorted Quality Measures |
| Complexity Level | Low |
National average reimbursement for HCPCS G9841 by major payers:
$72.04
BCBS / Anthem
$N/A
UnitedHealthcare
$0.01
Aetna
$1.16
Cigna
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HCPCS G9841
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See a sample payer proposalHCPCS G9841 vs. Other Additional Assorted Quality Measures Codes
The table lists codes related to G9841. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| G9840-HCPCS | Low | RAS (KRAS and NRAS) gene mutation testing performed before initiation of anti-EGFR moab |
| G9841-HCPCS | Low | RAS (KRAS and NRAS) gene mutation testing not performed before initiation of anti-EGFR moab |
| G9842-HCPCS | Low | Patient has metastatic disease at diagnosis |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G9841. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G9841 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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