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See a sample rate comparisonHCPCS A9900 Fee Schedule
HCPCS A9900 is classified under Administrative, Miscellaneous and Investigational, in the Miscellaneous DME Supplies and Services subgroup.
Miscellaneous DME supply, accessory, and/or service component of another HCPCS code
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Miscellaneous DME Supplies and Services |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for A9900 |
National average reimbursement for HCPCS A9900 by major payers:
$1,220.84
BCBS / Anthem
$49.42
UnitedHealthcare
$25.26
Aetna
$97.68
Cigna
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HCPCS A9900
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9900 vs. Other Miscellaneous DME Supplies and Services Codes
The table lists codes related to A9900. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9800-HCPCS | Moderate | Gallium ga-68 gozetotide, diagnostic, (locametz), 1 millicurie |
| A9900-HCPCS | High | Miscellaneous DME supply, accessory, and/or service component of another HCPCS code |
| A9901-HCPCS | Low | DME delivery, set up, and/or dispensing 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 A9900. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9900 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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