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HCPCS A9591 (Cerianna) Fee Schedule

HCPCS A9591 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.

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Key FactDetail
Service Type

Administrative, Miscellaneous and Investigational

Diagnostic and Therapeutic Radiopharmaceuticals

Complexity LevelModerate
Medicaid Fee Schedule$460.42 median of the 5 states in the free preview · View Medicaid rates for A9591
WAC Price
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National average reimbursement for HCPCS A9591 by major payers:

BCBS / Anthem logo

$643.68

BCBS / Anthem

UnitedHealthcare logo

$848.53

UnitedHealthcare

Aetna logo

$764.92

Aetna

Cigna logo

$752.17

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS A9591.

HCPCS A9591
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $1,754.48Published rate
  2. Northside Hospital, Inc., Northside Hospital Forsyth

    Northside Hospital Inc

    GAGeneral Acute Care HospitalNPI 1376574277Tax ID 58-1954432

    $923.00Published rate
  3. Ty Cobb Healthcare System, Cobb Memorial Hospital

    Community Services Group Inc

    GARural Acute Care HospitalNPI 1083711691Tax ID 58-0633978

    $876.84Published rate
  4. Emory Healthcare

    Emory University

    GAGeneral Acute Care HospitalNPI 1598964082Tax ID 58-2030692

    $804.21Published rate
  5. Anna Jaques Hospital

    MASkilled Nursing FacilityNPI 1184718223Tax ID 42-104338

    $498.67Published rate

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

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Payer Contract Negotiation

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HCPCS A9591 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes

The table lists codes related to A9591. Select one to see its fee schedule.

CodeComplexityDescription
A9590-HCPCSModerateIodine i-131, iobenguane, 1 millicurie
A9591-HCPCSModerateFluoroestradiol f 18, diagnostic, 1 millicurie
A9592-HCPCSHighCopper cu-64, dotatate, 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 A9591. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A9591 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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