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See a sample rate comparisonHCPCS A9585 (Gadavist) 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, gadobutrol, 0.1 ml
| Key Fact | Detail |
|---|---|
| Service Type | Administrative, Miscellaneous and Investigational Diagnostic and Therapeutic Radiopharmaceuticals |
| Complexity Level | Low |
| Medicaid Fee Schedule | 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
$0.30
$0.40
$0.29
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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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See a sample payer proposalHCPCS A9585 vs. Other Diagnostic and Therapeutic Radiopharmaceuticals Codes
The HCPCS A9585 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 A9585 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 |
|---|---|---|
| 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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