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HCPCS A9577 (Multihance) Fee Schedule

Last Verified: September 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, gadobenate dimeglumine (MultiHance), per ml
Key FactDetail
Service Type

Administrative, Miscellaneous and Investigational

Diagnostic and Therapeutic Radiopharmaceuticals

Complexity LevelLow
Medicaid Fee ScheduleView 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

$3.82

uhc

$2.06

aetna

$2.38

cigna

$2.03

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 HCPCS A9577 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 A9577 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.

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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