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See a sample rate comparisonHCPCS A9500 (Technetium Tc 99m Sestamibi) Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Technetium Tc-99m sestamibi, diagnostic, per study dose
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A9500 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS A9500 by major payers:
$111.76
$451.24
$120.77
$115.57
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HCPCS A9500
5 of 25 sample ratesHigher to lower in this preview
Abbas Ali
Princeton Community Hospital Assn Inc
$636.66Published rateCharles Talakkottur
Theoria Medical PLLC
$450.57Published rateNatassja Gangeri
$450.57Published rateSyed Inaam Mohiuddin Hashim
Orlando Health Medical Group Inc
$450.57Published rateRaj Shukla
Florida Hospital Healthcare Partners Inc
$382.98Published rate
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See a sample payer proposalHCPCS A9500 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The HCPCS A9500 code is part of the Administrative, Miscellaneous and Investigational services used for Diagnostic and Therapeutic Radiopharmaceuticals. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A9500 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A9300-HCPCS | Low | Exercise equipment |
| A9500-HCPCS | Low | Technetium Tc-99m sestamibi, diagnostic, per study dose |
| A9501-HCPCS | Moderate | Technetium Tc-99m teboroxime, diagnostic, per study dose |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9500 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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