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See a sample rate comparisonHCPCS A9563 Fee Schedule
HCPCS A9563 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Sodium phosphate P-32, therapeutic, per millicurie
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $278.08 median of the 7 states in the free preview · View Medicaid rates for A9563 |
National average reimbursement for HCPCS A9563 by major payers:
$236.78
BCBS / Anthem
$156.01
UnitedHealthcare
$330.52
Aetna
$314.32
Cigna
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HCPCS A9563
5 of 25 sample ratesHigher to lower in this preview
Cartersville Medical Center LLC, Cartersville Medical Center
Cartersville Medical Center LLC
$723.42Published rateAnna Jaques Hospital
$179.11Published rateAugusta Vamc
$143.14Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$143.14Published rateChatuge Regional Hospital Inc
$143.14Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9563 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9563. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A9564-HCPCS | Moderate | Chromic phosphate P-32 suspension, 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 A9563. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9563 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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