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See a sample rate comparisonHCPCS Q9957 (Definity) 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.
Injection, perflutren lipid microspheres, per ml
| Key Fact | Detail |
|---|---|
| Service Type | Temporary Codes Contrast Agents/Diagnostic Imaging |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for Q9957 |
| Medicare Payment Limit | $40.653  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS Q9957 by major payers:
$51.55
$47.93
$57.59
$47.25
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HCPCS Q9957
5 of 25 sample ratesHigher to lower in this preview
Carlos Zamora
University Of Florida Jacksonville Physicians Inc
$121.73Published rateKunal Chaudhry
Stuart Cardiology Group, PA
$44.47Published rateElizabeth Cosmai
Florida Heart Associates, P.L.
$44.47Published rateIon Botnaru
Olympia Multi-Specialty Clinic
$42.15Published ratePotu Cardiology Pl
$28.90Published rate
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See a sample payer proposalHCPCS Q9957 vs. Other Contrast Agents/Diagnostic Imaging Codes
The HCPCS Q9957 code is part of the Temporary Codes services used for Contrast Agents/Diagnostic Imaging. 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 Q9957 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 |
|---|---|---|
| Q9956-HCPCS | Low | Injection, octafluoropropane microspheres, per ml |
| Q9957-HCPCS | Low | Injection, perflutren lipid microspheres, per ml |
| Q9958-HCPCS | Low | High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS Q9957. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the Q9957 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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