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See a sample rate comparisonHCPCS A9527 Fee Schedule
HCPCS A9527 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Iodine I-125, sodium iodide solution, therapeutic, per millicurie
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $168.735 median of the 2 states in the free preview · View Medicaid rates for A9527 |
National average reimbursement for HCPCS A9527 by major payers:
$132.91
BCBS / Anthem
$217.96
UnitedHealthcare
$185.51
Aetna
$178.58
Cigna
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HCPCS A9527
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$473.11Published rateNavicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
$215.05Published rateDevon Daney
Aztec Urgent Care LLC
$215.05Published rateHospital Authority Of Candler County, Candler County Hospital
$215.05Published rateScreven County Hospital, LLC, Optim Medical Center - Screven
$60.15Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9527 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9527. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9526-HCPCS | Moderate | Nitrogen N-13 ammonia, diagnostic, per study dose, up to 40 millicuries |
| A9527-HCPCS | Low | Iodine I-125, sodium iodide solution, therapeutic, per millicurie |
| A9528-HCPCS | Low | Iodine I-131 sodium iodide capsule(s), 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 A9527. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9527 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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