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See a sample rate comparisonHCPCS A9564 Fee Schedule
HCPCS A9564 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Chromic phosphate P-32 suspension, therapeutic, per millicurie
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $308.615 median of the 8 states in the free preview · View Medicaid rates for A9564 |
National average reimbursement for HCPCS A9564 by major payers:
$238.17
BCBS / Anthem
$267.09
UnitedHealthcare
$186.13
Aetna
$153.67
Cigna
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HCPCS A9564
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$570.48Published rateKevin Schlessel
$311.17Published rateColquitt Regional Medical Center
$259.30Published rateLower Oconee Community Hospital Inc
$259.30Published rateUjuka Iloabuchi
$259.30Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9564 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9564. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9563-HCPCS | Moderate | Sodium phosphate P-32, therapeutic, per millicurie |
| A9564-HCPCS | Moderate | Chromic phosphate P-32 suspension, therapeutic, per millicurie |
| A9566-HCPCS | Moderate | Technetium Tc-99m fanolesomab, 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 A9564. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9564 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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