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See a sample rate comparisonHCPCS A9561 Fee Schedule
HCPCS A9561 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Technetium Tc-99m oxidronate, 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 | $40.13 median of the 7 states in the free preview · View Medicaid rates for A9561 |
National average reimbursement for HCPCS A9561 by major payers:
$65.08
BCBS / Anthem
$51.03
UnitedHealthcare
$46.74
Aetna
$54.36
Cigna
Compare published rates across providers.
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HCPCS A9561
5 of 25 sample ratesHigher to lower in this preview
Kassandra Giglio
Slocum Dickson Medical Group PLLC
$50.15Published rateAustin Perry
Slocum Dickson Medical Group PLLC
$50.15Published rateJill Cunningham
Slocum Dickson Medical Group PLLC
$50.15Published rateBrighu Kumar
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$50.15Published rateRachel Marra
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$50.15Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9561 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9561. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A9562-HCPCS | Moderate | Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9561. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9561 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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