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See a sample rate comparisonHCPCS A9576 (Prohance Multipack) Fee Schedule
Medicare rates as of October 2026
HCPCS A9576 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Injection, gadoteridol, (ProHance multipack), per ml
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicare Fee Schedule | $1.35 per 1 ml (October 2026 ASP) · View Medicare rates for A9576 |
| Medicaid Fee Schedule | $1.395 median of the 8 states in the free preview · View Medicaid rates for A9576 |
| Medicare Payment Limit | $1.415  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS A9576 by major payers:
$2.75
BCBS / Anthem
$1.61
UnitedHealthcare
$1.86
Aetna
$1.62
Cigna
Compare published rates across providers.
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HCPCS A9576
5 of 25 sample ratesHigher to lower in this preview
Jacqueline Wesolow
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$1.46Published rateHammad Tashkandi
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$1.46Published rateJennifer Bourne
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$1.46Published rateHardik Thakkar
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$1.45Published rateDana Ataya
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
$1.42Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9576 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9576. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9575-HCPCS | Low | Injection, gadoterate meglumine, 0.1 ml |
| A9576-HCPCS | Low | Injection, gadoteridol, (ProHance multipack), per ml |
| A9577-HCPCS | Low | Injection, gadobenate dimeglumine (MultiHance), 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 A9576. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9576 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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