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HCPCS A9503 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 medronate, diagnostic, per study dose, up to 30 millicuries
Key FactDetail
Service Type

Administrative, Miscellaneous and Investigational

Diagnostic and Therapeutic Radiopharmaceuticals

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for A9503

National average reimbursement for HCPCS A9503 by major payers:

bcbs

$32.82

uhc

$15.15

aetna

$14.98

cigna

$45.74

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS A9503.

HCPCS A9503
5 of 25 sample ratesHigher to lower in this preview
  1. University Health Services,Inc, University Hospital

    University Health Services Inc

    GAGeneral Acute Care HospitalNPI 1588665566Tax ID 58-1581103

    $72.79Published rate
  2. Ashley Fahy

    Slocum Dickson Medical Group PLLC

    NYFamily Nurse PractitionerNPI 1174360945Tax ID 20-0362623

    $14.81Published rate
  3. Daniel Grace

    Slocum Dickson Medical Group PLLC

    NYMaternal & Fetal Medicine PhysicianNPI 1376508846Tax ID 20-0362623

    $14.81Published rate
  4. Dayal Raja

    Slocum Dickson Medical Group PLLC

    NYEndocrinology, Diabetes & Metabolism PhysicianNPI 1003937715Tax ID 20-0362623

    $14.81Published rate
  5. Mohsin Syed

    Slocum Dickson Medical Group PLLC

    NYInternal Medicine PhysicianNPI 1437291689Tax ID 20-0362623

    $14.81Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS A9503 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes

The HCPCS A9503 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 A9503 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.

CodeComplexityDescription
A9502-HCPCSLowTechnetium Tc-99m tetrofosmin, diagnostic, per study dose
A9503-HCPCSLowTechnetium Tc-99m medronate, diagnostic, per study dose, up to 30 millicuries
A9504-HCPCSModerateTechnetium 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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