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See a sample rate comparisonHCPCS A9556 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.
Gallium Ga-67 citrate, diagnostic, per millicurie
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A9556 |
National average reimbursement for HCPCS A9556 by major payers:
$96.71
$155.88
$138.82
$104.74
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HCPCS A9556
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$338.61Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$157.00Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$153.91Published rateVictoria Lewis-Holland
$153.91Published ratePiedmont Newnan Hospital, Inc.
Piedmont Newnan Hospital Inc
$43.43Published rate
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See a sample payer proposalHCPCS A9556 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The HCPCS A9556 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 A9556 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 |
|---|---|---|
| A9555-HCPCS | High | Rubidium Rb-82, diagnostic, per study dose, up to 60 millicuries |
| A9556-HCPCS | Low | Gallium Ga-67 citrate, diagnostic, per millicurie |
| A9557-HCPCS | High | Technetium Tc-99m bicisate, diagnostic, per study dose, up to 25 millicuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9556. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9556 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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