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See a sample rate comparisonHCPCS A9586 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.
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 | View Medicaid rates for A9586 |
National average reimbursement for HCPCS A9586 by major payers:
$2,578.56
$3,311.54
$3,055.66
$2,946.39
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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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See a sample payer proposalHCPCS A9586 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The HCPCS A9586 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 A9586 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 |
|---|---|---|
| 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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