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See a sample rate comparisonHCPCS A9541 Fee Schedule
HCPCS A9541 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $61.965 median of the 8 states in the free preview · View Medicaid rates for A9541 |
National average reimbursement for HCPCS A9541 by major payers:
$221.90
BCBS / Anthem
$326.63
UnitedHealthcare
$281.98
Aetna
$467.91
Cigna
Compare published rates across providers.
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HCPCS A9541
5 of 25 sample ratesHigher to lower in this preview
Sharon-Rose Granata
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$304.79Published rateSepideh Mokhtari
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$304.79Published rateJamie Caracciolo
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$304.79Published rateAmanda Klaiber
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$304.79Published rateCharles Brock
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$304.79Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9541 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9541. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9540-HCPCS | Low | Technetium Tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries |
| A9541-HCPCS | Moderate | Technetium Tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries |
| A9542-HCPCS | High | Indium In-111 ibritumomab tiuxetan, diagnostic, per study dose, up to 5 millicuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9541. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9541 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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