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See a sample rate comparisonHCPCS A9510 Fee Schedule
HCPCS A9510 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Technetium Tc-99m disofenin, diagnostic, per study dose, up to 15 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $74.06 median of the 8 states in the free preview · View Medicaid rates for A9510 |
National average reimbursement for HCPCS A9510 by major payers:
$82.58
BCBS / Anthem
$81.08
UnitedHealthcare
$73.79
Aetna
$70.34
Cigna
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HCPCS A9510
5 of 25 sample ratesHigher to lower in this preview
Northside Hospital, Inc., Northside Hospital Gwinnett
Northside Hospital Inc
$190.91Published rateEmory Crawford Long Hospital
Emory University
$86.11Published rateChu Chen
$79.80Published rateTanner Medical Center, Inc, Tanner Health System
Tanner Medical Center Inc
$79.80Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$71.40Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9510 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9510. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A9512-HCPCS | Low | Technetium Tc-99m pertechnetate, diagnostic, per millicurie |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9510. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9510 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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