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See a sample rate comparisonHCPCS A9512 Fee Schedule
HCPCS A9512 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Technetium Tc-99m pertechnetate, diagnostic, per millicurie
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $1.96 median of the 8 states in the free preview · View Medicaid rates for A9512 |
National average reimbursement for HCPCS A9512 by major payers:
$11.97
BCBS / Anthem
$2.01
UnitedHealthcare
$2.53
Aetna
$9.87
Cigna
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HCPCS A9512
5 of 25 sample ratesHigher to lower in this preview
St Francis Medical Center, Inc
St Francis Medical Center Inc
$9.35Published rateMatthew Mittiga
Slocum Dickson Medical Group PLLC
$1.92Published rateLauren Platt
Slocum Dickson Medical Group PLLC
$1.89Published rateRobert Meier
Slocum Dickson Medical Group PLLC
$1.77Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$1.77Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9512 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9512. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A9513-HCPCS | Moderate | Lutetium lu 177, dotatate, therapeutic, 1 millicurie |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9512. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9512 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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