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See a sample rate comparisonHCPCS C9046 (Cocaine Hcl) Fee Schedule
Last Verified: October 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.
Cocaine hydrochloride nasal solution for topical administration, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Miscellaneous Drugs, Biologicals, and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for C9046 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS C9046 by major payers:
$1.47
$2.35
$1.67
$1.57
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HCPCS C9046
4 of 4 sample ratesHigher to lower in this preview
Aztec Urgent Care, LLC
Aztec Urgent Care LLC
$1.64Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$1.64Published rateConcordia Parish Hospital Service District Number One, Trinity Medical
Riverland Medical Center
$1.04Published rateConcordia Parish Hospital Service District Number One, Trinity Medical
Riverland Medical Center
$1.04Published rate
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See a sample payer proposalHCPCS C9046 vs. Other Miscellaneous Drugs, Biologicals, and Supplies Codes
The HCPCS C9046 code is part of the Outpatient PPS services used for Miscellaneous Drugs, Biologicals, and Supplies. 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 C9046 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 |
|---|---|---|
| C8957-HCPCS | Low | Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump |
| C9046-HCPCS | Low | Cocaine hydrochloride nasal solution for topical administration, 1 mg |
| C9047-HCPCS | Moderate | Injection, caplacizumab-yhdp, 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C9046. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C9046 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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