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HCPCS A9577 (Multihance) Fee Schedule

Medicare rates as of October 2026

HCPCS A9577 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.

Injection, gadobenate dimeglumine (MultiHance), per ml
Key FactDetail
Service Type

Administrative, Miscellaneous and Investigational

Diagnostic and Therapeutic Radiopharmaceuticals

Complexity LevelLow
Medicare Fee Schedule$1.80 per 1 ml (October 2026 ASP) · View Medicare rates for A9577
Medicaid Fee Schedule$1.795 median of the 8 states in the free preview · View Medicaid rates for A9577
Medicare Payment Limit
$1.743BuyandBill.com
WAC Price
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National average reimbursement for HCPCS A9577 by major payers:

BCBS / Anthem logo

$3.82

BCBS / Anthem

UnitedHealthcare logo

$2.06

UnitedHealthcare

Aetna logo

$2.38

Aetna

Cigna logo

$2.03

Cigna

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS A9577.

HCPCS A9577
5 of 25 sample ratesHigher to lower in this preview
  1. Christopher Raio

    Mercy Medical Center

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1635088

    $2.55Published rate
  2. Evan Krueger

    The Neuroscience Group Of Northeast Wisconsin Sc

    WINeurological Surgery PhysicianNPI 1861807174Tax ID 39-1731465

    $1.82Published rate
  3. Todd Peebles

    The Neuroscience Group Of Northeast Wisconsin Sc

    VTNeuroradiology PhysicianNPI 1386665925Tax ID 39-1731465

    $1.82Published rate
  4. Steven Price

    The Neuroscience Group Of Northeast Wisconsin Sc

    WINeurology PhysicianNPI 1457302432Tax ID 39-1731465

    $1.82Published rate
  5. Christopher Raio

    Good Samaritan Hosptial Medical Center

    NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1888924

    $1.64Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS A9577 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes

The table lists codes related to A9577. Select one to see its fee schedule.

CodeComplexityDescription
A9576-HCPCSLowInjection, gadoteridol, (ProHance multipack), per ml
A9577-HCPCSLowInjection, gadobenate dimeglumine (MultiHance), per ml
A9578-HCPCSLowInjection, gadobenate dimeglumine (MultiHance 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 A9577. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the A9577 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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