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See a sample rate comparisonHCPCS A9567 Fee Schedule
HCPCS A9567 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $58.29 median of the 4 states in the free preview · View Medicaid rates for A9567 |
National average reimbursement for HCPCS A9567 by major payers:
$73.41
BCBS / Anthem
$21.30
UnitedHealthcare
$17.19
Aetna
$23.12
Cigna
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HCPCS A9567
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$46.97Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$21.87Published rateTaylor Regional Hospital
$20.37Published rateHamilton Medical Center, Inc.
Hamilton Medical Center Inc
$20.37Published ratePalmyra Park Hospital, Inc., Palmyra Medical Centers
$20.37Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9567 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9567. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9566-HCPCS | Moderate | Technetium Tc-99m fanolesomab, diagnostic, per study dose, up to 25 millicuries |
| A9567-HCPCS | Low | Technetium Tc-99m pentetate, diagnostic, aerosol, per study dose, up to 75 millicuries |
| A9568-HCPCS | Moderate | Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9567. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9567 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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