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See a sample rate comparisonHCPCS A9546 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.
Cobalt Co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A9546 |
National average reimbursement for HCPCS A9546 by major payers:
$49.14
$238.97
$4.70
$1.33
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HCPCS A9546
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$518.83Published rateBrooks County Hospital
$235.83Published ratePalmyra Park Hospital, Inc., Palmyra Medical Centers
$235.83Published rateEvans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
$235.83Published rateScreven County Hospital, LLC, Optim Medical Center - Screven
$1.33Published rate
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See a sample payer proposalHCPCS A9546 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The HCPCS A9546 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 A9546 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 |
|---|---|---|
| A9543-HCPCS | High | Yttrium Y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries |
| A9546-HCPCS | Low | Cobalt Co-57/58, cyanocobalamin, diagnostic, per study dose, up to 1 microcurie |
| A9547-HCPCS | High | Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9546. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9546 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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