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See a sample rate comparisonHCPCS A9560 Fee Schedule
HCPCS A9560 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $79.70 median of the 8 states in the free preview · View Medicaid rates for A9560 |
National average reimbursement for HCPCS A9560 by major payers:
$103.21
BCBS / Anthem
$108.35
UnitedHealthcare
$102.29
Aetna
$108.80
Cigna
Compare published rates across providers.
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HCPCS A9560
5 of 25 sample ratesHigher to lower in this preview
Karen Rounds Cleary
Slocum Dickson Medical Group PLLC
$106.48Published rateMaria Gesualdo
Slocum Dickson Medical Group PLLC
$106.48Published rateSarah Rosario
Slocum Dickson Medical Group PLLC
$106.48Published rateKenneth Visalli
Slocum Dickson Medical Group PLLC
$106.48Published rateHelen Dolan
Slocum Dickson Medical Group PLLC
$106.48Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9560 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9560. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9559-HCPCS | Low | Cobalt Co-57 cyanocobalamin, oral, diagnostic, per study dose, up to 1 microcurie |
| A9560-HCPCS | Low | Technetium Tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries |
| A9561-HCPCS | Low | Technetium Tc-99m oxidronate, diagnostic, per study dose, up to 30 millicuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9560. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9560 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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