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See a sample rate comparisonHCPCS A9593 Fee Schedule
HCPCS A9593 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for A9593 |
National average reimbursement for HCPCS A9593 by major payers:
$721.34
BCBS / Anthem
$901.61
UnitedHealthcare
$808.41
Aetna
$797.51
Cigna
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HCPCS A9593
5 of 25 sample ratesHigher to lower in this preview
Piedmont Walton Hospital Inc
$1,571.96Published rateEmory Crawford Long Hospital
Emory University
$956.85Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$886.76Published rateChatuge Regional Hospital Inc
$886.76Published rateAnna Jaques Hospital
$534.90Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9593 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9593. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9592-HCPCS | High | Copper cu-64, dotatate, diagnostic, 1 millicurie |
| A9593-HCPCS | Moderate | Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie |
| A9594-HCPCS | Moderate | Gallium ga-68 psma-11, diagnostic, (ucla), 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 A9593. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9593 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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