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See a sample rate comparisonHCPCS A9584 (Datscan) Fee Schedule
HCPCS A9584 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | High |
| Medicaid Fee Schedule | $2,753.945 median of the 6 states in the free preview · View Medicaid rates for A9584 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS A9584 by major payers:
$2,631.71
BCBS / Anthem
$2,860.33
UnitedHealthcare
$2,678.45
Aetna
$2,696.24
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A9584.
HCPCS A9584
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$6,189.74Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Emory University
$3,035.93Published rateMonroe Hma, LLC, Clearview Regional Medical Center
Monroe Hma LLC
$2,813.52Published rateApril Leuzinger
Aztec Urgent Care LLC
$2,813.52Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$2,517.36Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9584 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9584. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9583-HCPCS | Low | Injection, gadofosveset trisodium, 1 ml |
| A9584-HCPCS | High | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries |
| A9585-HCPCS | Low | Injection, gadobutrol, 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 A9584. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9584 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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