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See a sample rate comparisonHCPCS A9568 Fee Schedule
HCPCS A9568 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Technetium Tc-99m arcitumomab, diagnostic, per study dose, up to 45 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $1,235.00 median of the 7 states in the free preview · View Medicaid rates for A9568 |
National average reimbursement for HCPCS A9568 by major payers:
$996.07
BCBS / Anthem
$1,257.03
UnitedHealthcare
$1,077.54
Aetna
$1,010.34
Cigna
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HCPCS A9568
5 of 25 sample ratesHigher to lower in this preview
Arthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$2,161.25Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$1,235.00Published rateDana Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$1,235.00Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$1,235.00Published rateAnna Jaques Hospital
$809.51Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9568 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9568. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A9569-HCPCS | High | Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9568. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9568 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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