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See a sample rate comparisonHCPCS A9585 (Gadavist) Fee Schedule
Medicare rates as of October 2026
HCPCS A9585 is classified under Administrative, Miscellaneous and Investigational, in the Diagnostic and Therapeutic Radiopharmaceuticals subgroup.
Injection, gadobutrol, 0.1 ml
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicare Fee Schedule | $0.235 per 0.1 ml (October 2026 ASP) · View Medicare rates for A9585 |
| Medicaid Fee Schedule | $0.275 median of the 8 states in the free preview · View Medicaid rates for A9585 |
| Medicare Payment Limit | $0.275  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS A9585 by major payers:
$0.44
BCBS / Anthem
$0.30
UnitedHealthcare
$0.40
Aetna
$0.29
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A9585.
HCPCS A9585
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$0.75Published rateMichael Poss
Blue Ridge Orthopaedic Associates, P.C.
$0.37Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$0.34Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$0.31Published rateSultana Razia
Slocum Dickson Medical Group PLLC
$0.28Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A9585 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The table lists codes related to A9585. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A9584-HCPCS | High | Iodine 1-123 ioflupane, diagnostic, per study dose, up to 5 millicuries |
| A9585-HCPCS | Low | Injection, gadobutrol, 0.1 ml |
| A9586-HCPCS | High | Florbetapir F18, diagnostic, per study dose, up to 10 millicuries |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A9585. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A9585 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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