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See a sample rate comparisonHCPCS A9503 Fee Schedule
HCPCS A9503 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $20.25 median of the 8 states in the free preview · View Medicaid rates for A9503 |
National average reimbursement for HCPCS A9503 by major payers:
$32.82
BCBS / Anthem
$15.15
UnitedHealthcare
$14.98
Aetna
$45.74
Cigna
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HCPCS A9503
5 of 25 sample ratesHigher to lower in this preview
University Health Services,Inc, University Hospital
University Health Services Inc
$72.79Published rateAshley Fahy
Slocum Dickson Medical Group PLLC
$14.81Published rateDaniel Grace
Slocum Dickson Medical Group PLLC
$14.81Published rateDayal Raja
Slocum Dickson Medical Group PLLC
$14.81Published rateMohsin Syed
Slocum Dickson Medical Group PLLC
$14.81Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9503 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9503. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9502-HCPCS | Low | Technetium Tc-99m tetrofosmin, diagnostic, per study dose |
| A9503-HCPCS | Low | Technetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries |
| A9504-HCPCS | Moderate | Technetium Tc-99m apcitide, diagnostic, per study dose, up to 20 millicuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9503. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9503 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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