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See a sample rate comparisonHCPCS A9697 Fee Schedule
HCPCS A9697 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | $1.92 median of the 2 states in the free preview · View Medicaid rates for A9697 |
National average reimbursement for HCPCS A9697 by major payers:
$875.94
BCBS / Anthem
$N/A
UnitedHealthcare
$N/A
Aetna
$0.00
Cigna
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HCPCS A9697
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See a sample payer proposalHCPCS A9697 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
| Code | Complexity | Description |
|---|---|---|
| A9697-HCPCS | Moderate | Injection, carboxydextran-coated superparamagnetic iron oxide, per study dose |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9697. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9697 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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