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See a sample rate comparisonHCPCS A9556 Fee Schedule
HCPCS A9556 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
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 | $24.98 median of the 8 states in the free preview · View Medicaid rates for A9556 |
National average reimbursement for HCPCS A9556 by major payers:
$96.71
BCBS / Anthem
$155.88
UnitedHealthcare
$138.82
Aetna
$104.74
Cigna
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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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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9556 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9556. Select one to see its fee schedule.
| 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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