How much does Medicare pay for HCPCS A9562?

Medicare allowed an average of $680.09 per service and paid $539.64 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $1473.24, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code A9562?

Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries. It was billed 1,470 times to 1,431 Medicare beneficiaries by 74 providers in 2024.

Which specialty bills A9562 most?

Diagnostic Radiology, with 983 services from 52 clinicians. Next are Nuclear Medicine, Internal Medicine, Independent Diagnostic Testing Facility (IDTF).

HCPCS A9562

Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries

$680.09Medicare-allowed amount per service, averaged across 1,470 services

Providers submitted

$1473.24

Asking price, not received

Medicare allowed

$680.09

The fee schedule figure

Medicare paid

$539.64

Balance is patient coinsurance

Providers submitted an average of $1473.24 for this code and Medicare allowed $680.09 — 2.2× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $539.64 (79%); the rest is the patient’s coinsurance and deductible.

Services: 1,470
Beneficiaries: 1,431
Providers billing it: 74
Total allowed: $999,732

What Medicare pays for HCPCS A9562

Across 1,470 services billed by 74 providers to 1,431 beneficiaries, Medicare allowed an average of $680.09 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills A9562

Specialty	Services	Beneficiaries	Avg allowed	Providers
Diagnostic Radiology	983	962	$693.95	52
Nuclear Medicine	319	309	$779.88	12
Internal Medicine	61	59	$489.36	3
Independent Diagnostic Testing Facility (IDTF)	56	52	$337.02	3
Family Practice	27	26	$363.22	2
Urology	24	23	$427.87	2

A9562 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	262	$357.56	$281.14	17
Arizona	225	$852.80	$688.18	11
Maryland	210	$1230.82	$980.65	7
California	168	$850.99	$661.88	7
Texas	157	$310.22	$245.95	9
New York	114	$838.58	$667.35	6
Illinois	85	$358.18	$280.92	4
Massachusetts	69	$781.07	$615.78	2
New Jersey	57	$502.49	$400.29	3
Pennsylvania	33	$397.52	$315.16	1
Nevada	23	$369.73	$289.41	2
Oregon	16	$476.52	$396.85	1
Connecticut	14	$397.48	$316.71	1
North Carolina	13	$873.29	$691.72	1
Colorado	13	$258.11	$205.65	1
Tennessee	11	$539.06	$414.28	1

Related codes

A9575Injection, gadoterate meglumine, 0.1 ml$0.12
A9585Injection, gadobutrol, 0.1 ml$0.31
A9579Injection, gadolinium-based magnetic resonance contrast agent, not oth$1.47
A9500Technetium tc-99m sestamibi$110.81
A9502Technetium tc-99m tetrofosmin$181.87
A9577Injection, gadobenate dimeglumine (multihance), per ml$1.72
A9555Rubidium rb-82$526.83
A9552Fluorodeoxyglucose f-18 fdg$321.77
A9576Injection, gadoteridol, (prohance multipack), per ml$1.46
A9595Piflufolastat f-18$626.38
A9573Injection, gadopiclenol, 1 ml$5.15
A9578Injection, gadobenate dimeglumine (multihance multipack), per ml$1.74

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.