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See a sample rate comparisonHCPCS P9046 (Albuked 25) 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.
Infusion, albumin (human), 25%, 20 ml
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Services Blood and Blood Products, with Associated Procedures |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for P9046 |
| Medicare Payment Limit | $21.231  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS P9046 by major payers:
$26.53
$22.12
$23.24
$27.29
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HCPCS P9046
5 of 25 sample ratesHigher to lower in this preview
Fred Hutchinson Cancer Center
$53.08Published rateJeffrey Kwasniewski
Slocum Dickson Medical Group PLLC
$21.22Published rateKimberly Hurley
Slocum Dickson Medical Group PLLC
$21.22Published rateHospital Service District 1 Of East Baton Rouge Parish, Lane Regional Medical Center
$21.22Published ratePaige Smithers
Slocum Dickson Medical Group PLLC
$21.22Published rate
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See a sample payer proposalHCPCS P9046 vs. Other Blood and Blood Products, with Associated Procedures Codes
The HCPCS P9046 code is part of the Pathology and Laboratory Services services used for Blood and Blood Products, with Associated Procedures. 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 P9046 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 |
|---|---|---|
| P9045-HCPCS | Low | Infusion, albumin (human), 5%, 250 ml |
| P9046-HCPCS | Low | Infusion, albumin (human), 25%, 20 ml |
| P9047-HCPCS | Low | Infusion, albumin (human), 25%, 50 ml |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS P9046. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the P9046 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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