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See a sample rate comparisonHCPCS A9536 Fee Schedule
HCPCS A9536 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $647.70 median of the 7 states in the free preview · View Medicaid rates for A9536 |
National average reimbursement for HCPCS A9536 by major payers:
$474.14
BCBS / Anthem
$1,417.84
UnitedHealthcare
$1,186.53
Aetna
$674.00
Cigna
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HCPCS A9536
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$3,080.00Published rateKamran Rajaee
$1,400.00Published rateColquitt Regional Medical Center
$1,400.00Published rateMichael Guillette
Aztec Urgent Care LLC
$1,400.00Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$760.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9536 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9536. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9532-HCPCS | Moderate | Iodine I-125 serum albumin, diagnostic, per 5 microcuries |
| A9536-HCPCS | Moderate | Technetium Tc-99m depreotide, diagnostic, per study dose, up to 35 millicuries |
| A9537-HCPCS | Low | Technetium Tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9536. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9536 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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