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See a sample rate comparisonHCPCS C9725 Fee Schedule
Last Verified: October 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.
Placement of endorectal intracavitary applicator for high intensity brachytherapy
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Other Therapeutic Services and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for C9725 |
National average reimbursement for HCPCS C9725 by major payers:
$153.74
$770.00
$287.56
$618.30
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HCPCS C9725
5 of 25 sample ratesHigher to lower in this preview
Childrens National Medical Center
Childrens Hospital
$4,449.00Published rateAdvanced Surgery Center Of Metairie LLC
Advanced Surgery Center Of Metairie
$934.00Published rateBaton Rouge La Endoscopy Asc LLC, Louisiana Endoscopy Center
$431.00Published rateSouthern Surgical Center, LLC
Southern Surgical Center LLC
$315.00Published rateSurgicare Of Lake Charles LLC, Surgicare Of Lake Charles
Lake Area Surgicare LLC
$210.00Published rate
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See a sample payer proposalHCPCS C9725 vs. Other Other Therapeutic Services and Supplies Codes
The HCPCS C9725 code is part of the Outpatient PPS services used for Other Therapeutic Services and Supplies. 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 C9725 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 |
|---|---|---|
| C9608-HCPCS | High | Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure) |
| C9725-HCPCS | Low | Placement of endorectal intracavitary applicator for high intensity brachytherapy |
| C9726-HCPCS | Moderate | Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C9725. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C9725 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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