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See a sample rate comparisonHCPCS A9572 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for A9572 |
National average reimbursement for HCPCS A9572 by major payers:
$4,605.63
$6,916.37
$5,810.65
$4,588.45
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HCPCS A9572
5 of 25 sample ratesHigher to lower in this preview
The Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$23,594.63Published rateCarson Medical Group Professional Corporation
Carson Medical Group
$6,811.20Published rateEmory Healthcare
Emory University
$4,760.56Published rateHospital Authority Of Jenkins County
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$4,411.79Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$4,411.79Published rate
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See a sample payer proposalHCPCS A9572 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The HCPCS A9572 code is part of the Administrative, Miscellaneous and Investigational services used for Diagnostic and Therapeutic Radiopharmaceuticals. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A9572 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A9571-HCPCS | High | Indium In-111 labeled autologous platelets, diagnostic, per study dose |
| A9572-HCPCS | High | Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries |
| A9575-HCPCS | Low | Injection, gadoterate meglumine, 0.1 ml |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9572. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9572 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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