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See a sample rate comparisonHCPCS A9501 Fee Schedule
HCPCS A9501 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Technetium Tc-99m teboroxime, diagnostic, per study dose
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $52.815 median of the 2 states in the free preview · View Medicaid rates for A9501 |
National average reimbursement for HCPCS A9501 by major payers:
$251.04
BCBS / Anthem
$71.33
UnitedHealthcare
$87.76
Aetna
$54.94
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A9501.
HCPCS A9501
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$108.89Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$108.89Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$108.89Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$108.89Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$108.89Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9501 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9501. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9500-HCPCS | Low | Technetium Tc-99m sestamibi, diagnostic, per study dose |
| A9501-HCPCS | Moderate | Technetium Tc-99m teboroxime, diagnostic, per study dose |
| A9502-HCPCS | Low | Technetium Tc-99m tetrofosmin, 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 A9501. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9501 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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