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See a sample rate comparisonHCPCS A9588 (Axumin) Fee Schedule
HCPCS A9588 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Fluciclovine f-18, diagnostic, 1 millicurie
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $540.31 median of the 7 states in the free preview · View Medicaid rates for A9588 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS A9588 by major payers:
$612.19
BCBS / Anthem
$572.71
UnitedHealthcare
$520.09
Aetna
$492.67
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A9588.
HCPCS A9588
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,203.84Published rateClinch County Hospital Authority
$588.97Published rateBacon County Health Services, Inc, Bacon County Rural Health Clinic
Bacon County Health Services Inc
$588.97Published rateEffingham Hospital, Inc., Effingham Health System
Effingham Hospital Inc
$563.61Published rateNicole Schwab
Allergy & Asthma Of Dupage, S.C.
$499.96Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9588 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9588. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9587-HCPCS | Low | Gallium ga-68, dotatate, diagnostic, 0.1 millicurie |
| A9588-HCPCS | Moderate | Fluciclovine f-18, diagnostic, 1 millicurie |
| A9589-HCPCS | High | Instillation, hexaminolevulinate hydrochloride, 100 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9588. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9588 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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