What do doctors typically charge for Technetium Tc-99m Labeled Red Blood Cells?

The nationwide median physician charge for Technetium Tc-99m Labeled Red Blood Cells (HCPCS A9560) is $265.00. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS A9560?

The standard insurance baseline reimbursement rate is $104.90. This represents the customary allowable amount established across standard fee schedules.

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HCPCS A9560Medical Service

Technetium Tc-99m Labeled Red Blood Cells

Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries. Clinical pricing breakdown and utilization metrics across 42 practicing doctors nationwide.

$265.00

Peer Median Charge

Gross billed rate

$104.90

Standard Baseline

Customary allowable

2.5x

National Markup

Charge vs baseline

Active Physicians

Billing this code

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $265.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $104.90 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code A9560 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"