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See a sample rate comparisonHCPCS A9509 Fee Schedule
HCPCS A9509 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Iodine I-123 sodium iodide, diagnostic, per millicurie
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $204.90 median of the 5 states in the free preview · View Medicaid rates for A9509 |
National average reimbursement for HCPCS A9509 by major payers:
$314.62
BCBS / Anthem
$2,200.25
UnitedHealthcare
$639.16
Aetna
$796.97
Cigna
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HCPCS A9509
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$4,774.44Published rateMiguel A. Arenas, M.D., PC
Miguel A Arenas Md PC
$2,170.19Published rateHospital Authority Of Candler County, Candler County Hospital
$2,170.19Published rateMichael Koch
Pathology Lab Of Georgia LLC
$2,170.19Published ratePiedmont Mountainside Hospital, Inc., Piedmont Mountainside Hospital
Piedmont Mountainside Hospital Inc
$353.73Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9509 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9509. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9508-HCPCS | Moderate | Iodine I-131 iobenguane sulfate, diagnostic, per 0.5 millicurie |
| A9509-HCPCS | Moderate | Iodine I-123 sodium iodide, diagnostic, per millicurie |
| A9510-HCPCS | Low | Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9509. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9509 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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