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HCPCS A9800 (Locametz) 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.

Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie
Key FactDetail
Service Type

Administrative, Miscellaneous and Investigational

Diagnostic and Therapeutic Radiopharmaceuticals

Complexity LevelModerate
Medicaid Fee ScheduleView Medicaid rates for A9800
WAC Price
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National average reimbursement for HCPCS A9800 by major payers:

bcbs

$827.23

uhc

$955.19

aetna

$862.27

cigna

$845.15

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS A9800.

HCPCS A9800
5 of 25 sample ratesHigher to lower in this preview
  1. Northside Hospital, Inc., Northside Hospital Gwinnett

    Northside Hospital Inc

    GAGeneral Acute Care HospitalNPI 1952340994Tax ID 58-1954432

    $2,401.95Published rate
  2. Piedmont Hospital, Inc, Piedmont Hospital

    Piedmont Healthcare Inc

    GAGeneral Acute Care HospitalNPI 1962461681Tax ID 58-0566213

    $1,703.20Published rate
  3. Stephens County Anesthesia Services,LLC

    Stephens County Anesthesia Servicesllc

    GARural Acute Care HospitalNPI 1518912666Tax ID 30-0429607

    $939.35Published rate
  4. Michael Guillette

    Aztec Urgent Care LLC

    COPhysician AssistantNPI 1174512115Tax ID 27-1495988

    $939.35Published rate
  5. Maricopa County Special Health Care District, Valleywise Health

    AZGeneral Acute Care HospitalNPI 1073576740Tax ID 86-0830701

    $873.44Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS A9800 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes

The HCPCS A9800 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 A9800 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.

CodeComplexityDescription
A9700-HCPCSLowSupply of injectable contrast material for use in echocardiography, per study
A9800-HCPCSModerateGallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie
A9900-HCPCSHighMiscellaneous DME supply, accessory, and/or service component of another HCPCS code

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9800. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A9800 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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