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See a sample rate comparisonHCPCS A9515 Fee Schedule
HCPCS A9515 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Choline c-11, diagnostic, per study dose up to 20 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | High |
| Medicaid Fee Schedule | $5,130.00 median of the 5 states in the free preview · View Medicaid rates for A9515 |
National average reimbursement for HCPCS A9515 by major payers:
$4,771.58
BCBS / Anthem
$5,785.19
UnitedHealthcare
$5,156.71
Aetna
$5,463.31
Cigna
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Choose a payer to see a sample of rates for HCPCS A9515.
HCPCS A9515
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$12,540.00Published rateRedmond Park Hospital LLC, Redmond Hospital Based Services LLC
Redmond Park Hospital LLC
$5,700.00Published rateMichael Guillette
Aztec Urgent Care LLC
$5,700.00Published rateLower Oconee Community Hospital Inc
$5,700.00Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$2,062.93Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9515 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9515. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9513-HCPCS | Moderate | Lutetium lu 177, dotatate, therapeutic, 1 millicurie |
| A9515-HCPCS | High | Choline c-11, diagnostic, per study dose up to 20 millicuries |
| A9516-HCPCS | Low | Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9515. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9515 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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