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See a sample rate comparisonHCPCS A9547 Fee Schedule
HCPCS A9547 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Indium In-111 oxyquinoline, diagnostic, per 0.5 millicurie
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | High |
| Medicaid Fee Schedule | $1,439.70 median of the 8 states in the free preview · View Medicaid rates for A9547 |
National average reimbursement for HCPCS A9547 by major payers:
$1,051.48
BCBS / Anthem
$2,429.12
UnitedHealthcare
$2,133.43
Aetna
$1,617.69
Cigna
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Choose a payer to see a sample of rates for HCPCS A9547.
HCPCS A9547
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$4,484.61Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Emory University
$2,589.37Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$2,399.67Published rateKamran Rajaee
$2,399.67Published rateAnna Jaques Hospital
$772.64Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9547 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9547. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A9548-HCPCS | Moderate | Indium In-111 pentetate, 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 A9547. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9547 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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