HCPCS code A9557: Tc-99m bicisate, per study dose2026 Medicare rate & RVUs in Puerto Rico

CMS doesn’t publish a rate for A9557 in Puerto Rico.

Check a contract rate as a % of Medicare · A9557 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What A9557 covers

Technetium-99m bicisate is an intravenously administered imaging agent used for cerebral perfusion imaging, most commonly with SPECT. Nuclear medicine teams use it to show patterns of blood flow in the brain during evaluations such as suspected stroke, seizures, or cognitive disorders. The radiopharmaceutical is administered before image acquisition; the imaging service itself is distinct from the supplied dose.

Medicare assigns this code physician fee schedule status C, or carrier priced: CMS publishes no national payment, and the Medicare contractor sets payment for each claim. The HCPCS pricing method is other contractor pricing, and coverage is left to the contractor’s judgment. One unit represents a diagnostic study dose up to 25 millicuries, not a per-millicurie amount.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Puerto Rico compares for A9557

Every other payment area

A9557 rates by state

Office rate range in each state. Select a state to see its payment localities.

See A9557 in every payment locality

How the A9557 rate is calculated

Each of A9557’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for A9557

A9557 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

How A9557 has changed in Puerto Rico

Price A9557 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates