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HCPCS A9587 (Netspot) Fee Schedule

Last Verified: September 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

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Key FactDetail
Service Type

Administrative, Miscellaneous and Investigational

Diagnostic and Therapeutic Radiopharmaceuticals

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for A9587
WAC Price
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National average reimbursement for HCPCS A9587 by major payers:

bcbs

$66.74

uhc

$63.34

aetna

$55.34

cigna

$56.67

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS A9587.

HCPCS A9587
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $139.35Published rate
  2. Ujuka Iloabuchi

    GAWomen's HospitalNPI 1306136551Tax ID 88-1014763

    $98.41Published rate
  3. Tift Regional Health System, Inc., Southwell Medical

    Tift Regional Health System Inc

    GAGeneral Acute Care HospitalNPI 1568410264Tax ID 45-3072990

    $63.34Published rate
  4. Effingham Hospital, Inc., Effingham Health System

    Effingham Hospital Inc

    GACritical Access HospitalNPI 1811962756Tax ID 47-4393589

    $63.34Published rate
  5. Grady Memorial Hospital Corporation, Grady Health Systems

    Grady Memorial Hospital Corporation

    GAGeneral Acute Care HospitalNPI 1992799050Tax ID 26-2037695

    $53.84Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS A9587 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes

The HCPCS A9587 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 A9587 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.

CodeComplexityDescription
A9586-HCPCSHighFlorbetapir F18, diagnostic, per study dose, up to 10 millicuries
A9587-HCPCSLowGallium ga-68, dotatate, diagnostic, 0.1 millicurie
A9588-HCPCSModerateFluciclovine f-18, diagnostic, 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 A9587. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A9587 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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