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See a sample rate comparisonHCPCS A9594 Fee Schedule
HCPCS A9594 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Gallium ga-68 psma-11, diagnostic, (ucla), 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 A9594 |
National average reimbursement for HCPCS A9594 by major payers:
$706.44
BCBS / Anthem
$882.77
UnitedHealthcare
$786.65
Aetna
$780.83
Cigna
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HCPCS A9594
5 of 25 sample ratesHigher to lower in this preview
Northside Hospital, Inc., Northside Hospital Gwinnett
Northside Hospital Inc
$2,170.58Published rateEmory University Hospital
Emory University
$936.86Published rateProfessional Resources Management Of Rabun, LLC, Mountain Lakes Medical Center
$868.22Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Emory University
$796.30Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$706.21Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9594 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9594. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9593-HCPCS | Moderate | Gallium ga-68 psma-11, diagnostic, (ucsf), 1 millicurie |
| A9594-HCPCS | Moderate | Gallium ga-68 psma-11, diagnostic, (ucla), 1 millicurie |
| A9595-HCPCS | Moderate | Piflufolastat 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 A9594. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9594 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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