What do doctors typically charge for Copper Cu-64 Dotatate Diagnostic 1 Millicurie?

The nationwide median physician charge for Copper Cu-64 Dotatate Diagnostic 1 Millicurie (HCPCS A9592) is $3001.41. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS A9592?

The standard insurance baseline reimbursement rate is $1488.49. This represents the customary allowable amount established across standard fee schedules.

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HCPCS A9592Medical Service

Copper Cu-64 Dotatate Diagnostic 1 Millicurie

Q: What is Copper Cu-64 Dotatate Diagnostic 1 Millicurie (HCPCS A9592)?

Copper cu-64, dotatate, diagnostic, 1 millicurie. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

Copper cu-64, dotatate, diagnostic, 1 millicurie. Clinical pricing breakdown and utilization metrics across 16 practicing doctors nationwide.

$3001.41

Peer Median Charge

Gross billed rate

$1488.49

Standard Baseline

Customary allowable

2.0x

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 $3001.41. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $1488.49 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 A9592 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"