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See a sample rate comparisonHCPCS A9573 (Elucirem) 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.
Injection, gadopiclenol, 1 ml
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A9573 |
| Medicare Payment Limit | $3.364  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS A9573 by major payers:
$9.24
$3.61
$7.77
$4.05
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HCPCS A9573
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$13.57Published rateRoss Carlson
Neuroscience Group Of Northeast Wisconsin, S.C.
$3.57Published rateSteven Feinberg
Head And Neck Associates Of Orange County, Inc.
$3.57Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$3.57Published rateBrooks County Hospital
$3.57Published rate
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See a sample payer proposalHCPCS A9573 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The HCPCS A9573 code is part of the Administrative, Miscellaneous and Investigational services used for Diagnostic and Therapeutic Radiopharmaceuticals. 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 A9573 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 |
|---|---|---|
| A9573-HCPCS | Low | Injection, gadopiclenol, 1 ml |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9573. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9573 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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