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See a sample rate comparisonHCPCS A9528 Fee Schedule
HCPCS A9528 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Iodine I-131 sodium iodide capsule(s), diagnostic, per millicurie
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $22.43 median of the 6 states in the free preview · View Medicaid rates for A9528 |
National average reimbursement for HCPCS A9528 by major payers:
$102.96
BCBS / Anthem
$67.86
UnitedHealthcare
$79.88
Aetna
$96.08
Cigna
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HCPCS A9528
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$276.12Published ratePiedmont Athens Regional Medical Center, Inc.
Piedmont Athens Regional Medical Center Inc
$186.44Published rateUnion County Hospital Authority, Union General Hospital
Union County Hospital Authority
$93.68Published rateAlicia Encinas
Miguel A Arenas Md PC
$42.15Published rateHospital Authority Of Liberty County, Liberty Regional Medical Center
$24.40Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9528 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9528. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A9529-HCPCS | Low | Iodine I-131 sodium iodide solution, 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 A9528. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9528 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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