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See a sample rate comparisonHCPCS A9583 Fee Schedule
HCPCS A9583 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Injection, gadofosveset trisodium, 1 ml
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $18.245 median of the 4 states in the free preview · View Medicaid rates for A9583 |
National average reimbursement for HCPCS A9583 by major payers:
$19.36
BCBS / Anthem
$21.48
UnitedHealthcare
$19.57
Aetna
$21.66
Cigna
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HCPCS A9583
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$46.22Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$21.43Published rateNavicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
$21.01Published rateChi Memorial Hospital
Chi Memorial Hospital - Georgia
$21.01Published rateDevon Daney
Aztec Urgent Care LLC
$21.01Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9583 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9583. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9582-HCPCS | High | Iodine I-123 iobenguane, diagnostic, per study dose, up to 15 millicuries |
| A9583-HCPCS | Low | Injection, gadofosveset trisodium, 1 ml |
| A9584-HCPCS | High | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9583. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9583 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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