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See a sample rate comparisonHCPCS A9530 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Iodine I-131 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 | View Medicaid rates for A9530 |
National average reimbursement for HCPCS A9530 by major payers:
$54.80
$7.88
$17.57
$9.62
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HCPCS A9530
5 of 25 sample ratesHigher to lower in this preview
Northside Hospital, Inc., Northside Hospital Gwinnett
Northside Hospital Inc
$56.09Published rateChu Chen
$30.68Published rateUniversity Healthcare System, L.C., Tulane Lakeside Hospital
$20.39Published rateChristopher Raio
Good Samaritan Hosptial Medical Center
$9.69Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$4.59Published rate
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See a sample payer proposalHCPCS A9530 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The HCPCS A9530 code is part of the Administrative, Miscellaneous and Investigational services used for Diagnostic and Therapeutic Radiopharmaceuticals. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A9530 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A9529-HCPCS | Low | Iodine I-131 sodium iodide solution, diagnostic, per millicurie |
| A9530-HCPCS | Low | Iodine I-131 sodium iodide solution, therapeutic, per millicurie |
| A9531-HCPCS | Low | Iodine I-131 sodium iodide, diagnostic, per microcurie (up to 100 microcuries) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9530. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9530 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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