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See a sample rate comparisonHCPCS A9555 Fee Schedule
HCPCS A9555 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | High |
| Medicaid Fee Schedule | $485.34 median of the 8 states in the free preview · View Medicaid rates for A9555 |
National average reimbursement for HCPCS A9555 by major payers:
$1,116.39
BCBS / Anthem
$529.02
UnitedHealthcare
$386.36
Aetna
$493.64
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A9555.
HCPCS A9555
5 of 25 sample ratesHigher to lower in this preview
Walter Martin
Mainehealth
$853.55Published rateBertha Olazabal
$520.75Published rateRobert Haake
$520.75Published rateCurtis Weaver
Florida Hospital Medical Group Inc
$520.75Published rateCharles Harring
South Palm Cardiovascular Associates, LLC
$364.52Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9555 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9555. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9554-HCPCS | Moderate | Iodine I-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries |
| A9555-HCPCS | High | Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries |
| A9556-HCPCS | Low | Gallium Ga-67 citrate, diagnostic, per millicurie |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9555. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9555 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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