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See a sample rate comparisonHCPCS A9606 (Xofigo) Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
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 | 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
$194.39
$171.72
$173.03
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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
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See a sample payer proposalHCPCS A9606 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The HCPCS A9606 code is part of the Administrative, Miscellaneous and Investigational services used for Diagnostic and Therapeutic Radiopharmaceuticals. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A9606 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| 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.
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