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See a sample rate comparisonHCPCS A9586 Fee Schedule
HCPCS A9586 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Florbetapir F18, diagnostic, per study dose, up to 10 millicuries
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | High |
| Medicaid Fee Schedule | $2,691.67 median of the 8 states in the free preview · View Medicaid rates for A9586 |
National average reimbursement for HCPCS A9586 by major payers:
$2,578.56
BCBS / Anthem
$3,311.54
UnitedHealthcare
$3,055.66
Aetna
$2,946.39
Cigna
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HCPCS A9586
5 of 25 sample ratesHigher to lower in this preview
Northside Hospital, Inc., Northside Hospital Forsyth
Northside Hospital Inc
$8,963.24Published ratePiedmont Mountainside Hospital, Inc., Piedmont Mountainside Hospital
Piedmont Mountainside Hospital Inc
$6,355.75Published rateChristopher Raio
St Francis Hospital
$3,257.44Published rateAlicia Encinas
Miguel A Arenas Md PC
$3,257.43Published rateAnna Jaques Hospital
$2,194.62Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9586 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9586. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9585-HCPCS | Low | Injection, gadobutrol, 0.1 ml |
| A9586-HCPCS | High | Florbetapir F18, diagnostic, per study dose, up to 10 millicuries |
| A9587-HCPCS | Low | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9586. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9586 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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