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See a sample rate comparisonHCPCS A9579 (Omniscan) 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, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A9579 |
| Medicare Payment Limit | $1.476  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS A9579 by major payers:
$3.04
$1.73
$2.08
$1.70
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HCPCS A9579
5 of 25 sample ratesHigher to lower in this preview
Hodges And Hodges Womens Clinic PA, Salina Women'S Clinic
Hodges And Hodges Womens Clinic PA
$6.30Published rateSamir Shaath
Hodgeman County Health Center
$1.50Published rateSharon Maturo
Assure Ob LLC
$1.48Published rateJacqueline Beverlin
$1.48Published rateLawrence Physicians LLC, Lawrence Ob/Gyn Specialists
$1.48Published rate
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See a sample payer proposalHCPCS A9579 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The HCPCS A9579 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 A9579 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 |
|---|---|---|
| A9578-HCPCS | Low | Injection, gadobenate dimeglumine (MultiHance multipack), per ml |
| A9579-HCPCS | Low | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (NOS), per ml |
| A9580-HCPCS | Moderate | Sodium fluoride F-18, diagnostic, per study dose, up to 30 millicuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9579. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9579 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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