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See a sample rate comparisonHCPCS A9569 Fee Schedule
HCPCS A9569 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Technetium Tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | High |
| Medicaid Fee Schedule | $1,585.415 median of the 6 states in the free preview · View Medicaid rates for A9569 |
National average reimbursement for HCPCS A9569 by major payers:
$1,125.94
BCBS / Anthem
$1,985.16
UnitedHealthcare
$1,764.04
Aetna
$1,763.35
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A9569.
HCPCS A9569
5 of 25 sample ratesHigher to lower in this preview
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$6,681.18Published rateMichael Guillette
Aztec Urgent Care LLC
$1,953.92Published rateNorthside Hospital, Inc., Northside Hospital Duluth
$1,953.92Published rateAlicia Encinas
Miguel A Arenas Md PC
$1,953.92Published ratePhoebe Worth Medical Center, Inc, Phoebe Worth Medical Center, Inc
Phoebe Worth Medical Center Inc
$1,574.22Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9569 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9569. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| A9570-HCPCS | High | Indium In-111 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 A9569. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9569 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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