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See a sample rate comparisonHCPCS A9562 Fee Schedule
HCPCS A9562 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Technetium Tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $463.17 median of the 8 states in the free preview · View Medicaid rates for A9562 |
National average reimbursement for HCPCS A9562 by major payers:
$628.11
BCBS / Anthem
$898.36
UnitedHealthcare
$691.38
Aetna
$965.85
Cigna
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HCPCS A9562
5 of 25 sample ratesHigher to lower in this preview
Maureen Quattrone
Slocum Dickson Medical Group PLLC
$883.23Published rateBonnie Casanova
Slocum Dickson Medical Group PLLC
$883.23Published rateUte Dreiner
Slocum Dickson Medical Group PLLC
$883.23Published rateHelen Dolan
Slocum Dickson Medical Group PLLC
$883.23Published rateChristopher Vendryes
Urology Medical Specialists PA
$574.10Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9562 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9562. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A9563-HCPCS | Moderate | Sodium phosphate P-32, therapeutic, 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 A9562. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9562 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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