Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A9606 (Xofigo) Fee Schedule
HCPCS A9606 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Radium Ra-223 dichloride, therapeutic, per microcurie
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | $144.925 median of the 8 states in the free preview · View Medicaid rates for A9606 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS A9606 by major payers:
$198.33
BCBS / Anthem
$194.39
UnitedHealthcare
$171.72
Aetna
$173.03
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A9606.
HCPCS A9606
5 of 25 sample ratesHigher to lower in this preview
Northside Hospital, Inc., Northside Hospital
Northside Hospital Inc
$443.19Published rateMeriwether County Hospital Authority, Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$196.91Published rateMichael Shuler
Athens Orthopedic Clinic, PA
$183.77Published rateLallie Kemp Medical Ctr, Lallie Kemp Regional Medical Center
$165.25Published rateConcordia Parish Hospital Service District Number One, Trinity Medical
Riverland Medical Center
$140.39Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A9606 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9606. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9604-HCPCS | High | Samarium Sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries |
| A9606-HCPCS | Low | Radium Ra-223 dichloride, therapeutic, per microcurie |
| A9607-HCPCS | Moderate | Lutetium lu 177 vipivotide tetraxetan, therapeutic, 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 A9606. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9606 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A9606) and we'll show you how you compare in 15 minutes or less.