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See a sample rate comparisonHCPCS A9524 Fee Schedule
HCPCS A9524 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $71.565 median of the 8 states in the free preview · View Medicaid rates for A9524 |
National average reimbursement for HCPCS A9524 by major payers:
$125.98
BCBS / Anthem
$91.72
UnitedHealthcare
$89.82
Aetna
$82.32
Cigna
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HCPCS A9524
5 of 25 sample ratesHigher to lower in this preview
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$951.27Published rateAtl Colorectal Surgery
$140.24Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$90.25Published rateLeigh Taylor
$90.25Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$80.75Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9524 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9524. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9521-HCPCS | High | Technetium Tc-99m exametazime, diagnostic, per study dose, up to 25 millicuries |
| A9524-HCPCS | Low | Iodine I-131 iodinated serum albumin, diagnostic, per 5 microcuries |
| A9526-HCPCS | Moderate | Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 millicuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9524. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9524 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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