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See a sample rate comparisonHCPCS A9575 (Clariscan) Fee Schedule
Medicare rates as of October 2026
HCPCS A9575 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Injection, gadoterate meglumine, 0.1 ml
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicare Fee Schedule | $0.105 per 0.1 ml (October 2026 ASP) · View Medicare rates for A9575 |
| Medicaid Fee Schedule | $0.10 median of the 8 states in the free preview · View Medicaid rates for A9575 |
| Medicare Payment Limit | $0.113  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS A9575 by major payers:
$0.13
BCBS / Anthem
$0.12
UnitedHealthcare
$0.13
Aetna
$0.12
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A9575.
HCPCS A9575
5 of 25 sample ratesHigher to lower in this preview
Mehmet Karliyil
Slocum Dickson Medical Group PLLC
$0.17Published rateMakenzi Crouse
Orthopedic Specialists Of Sw Florida PA
$0.14Published rateMichael Gartland
Orthopedic Specialists Of Sw Florida PA
$0.11Published rateKenneth Visalli
Slocum Dickson Medical Group PLLC
$0.11Published rateJonathan Pagano
Orthopedic Specialists Of Sw Florida PA
$0.11Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9575 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9575. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9572-HCPCS | High | Indium In-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries |
| A9575-HCPCS | Low | Injection, gadoterate meglumine, 0.1 ml |
| A9576-HCPCS | Low | Injection, gadoteridol, (ProHance multipack), per ml |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9575. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9575 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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