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HCPCS code A9578: MultiHance injection, multipack, per mL2026 Medicare rate & RVUs

Reports the volume of intravenous gadobenate dimeglumine administered for MRI or magnetic resonance angiography using the MultiHance multipack presentation.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare rate · A9578

MultiHance injection, multipack, per mL

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
XXX

National rate · 2026

—

Not priced in the facility setting.

See every locality for A9578 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What A9578 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What A9578 covers

A9578 identifies gadobenate dimeglumine, a gadolinium-based contrast agent administered intravenously to enhance MRI images. Radiology departments use it for MRI examinations of the central nervous system and for magnetic resonance angiography. The code distinguishes the MultiHance multipack presentation from the separately identified non-multipack presentation; it does not describe the imaging service itself.

The physician fee schedule status is X, a statutory exclusion, so the physician fee schedule does not pay this item. When covered, Medicare treats it as a Part B drug generally priced through CMS's quarterly Average Sales Price files and pays it under another fee schedule or payment system. Coverage is left to the Medicare contractor's judgment. Each unit represents 1 mL; report units according to the volume administered, not the number of multipacks.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where A9578 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

A9578 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

A9578 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
A9578 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the A9578 rate is calculated

Each of A9578’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · A9578

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for A9578

A9578 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · A9578

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

A9578 isn’t priced in this setting.

A9578 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • A9578

    MultiHance injection, multipack, per mL0 wRVU

    Not priced

  • A9577

    MultiHance injection, per mL0 wRVU

    Not priced

  • A9576

    ProHance injection, per 1 mL0 wRVU

    Not priced

  • A9579

    MRI contrast agent, unspecified agent, per mL0 wRVU

    Not priced

  • A9575

    Gadoterate injection, per 0.1 mL0 wRVU

    Not priced

How to choose

A9577MultiHance injectionPer mL
Both codes identify gadobenate dimeglumine. A9578 specifies the multipack presentation; A9577 does not.
A9576ProHance injectionPer 1 mL
A9576 identifies gadoteridol in a multipack presentation. A9578 identifies gadobenate dimeglumine.
A9579MRI contrast agentUnspecified agent, per mL
A9579 is for gadolinium-based MR contrast without a specified agent. A9578 identifies gadobenate dimeglumine in a multipack presentation.
A9575Gadoterate injectionPer 0.1 mL
A9575 identifies gadoterate meglumine and uses a 0.1 mL unit. A9578 identifies gadobenate dimeglumine and uses a 1 mL unit.

Codes related to A9578

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to A9578
CodeHow it relatesNational office range
Same family
A9577MultiHance injection, per mLIdentifies gadobenate dimeglumine without the multipack presentation distinction.No office rate
Used instead
A9576ProHance injection, per 1 mLIdentifies gadoteridol in a multipack presentation for MRI contrast.No office rate
A9579MRI contrast agent, unspecified agent, per mLFor gadolinium-based MR contrast when a specific agent is not identified.No office rate
A9575Gadoterate injection, per 0.1 mLIdentifies gadoterate meglumine, a different MRI contrast agent, per 0.1 mL.No office rate

A9578 billing questions

How does A9578 differ from A9577?

Both identify gadobenate dimeglumine, but A9578 is for the multipack presentation. A9577 identifies the drug without that multipack designation.

Does one unit represent one multipack?

No. One unit represents 1 mL; units follow the volume administered, not the package count.

Does the physician fee schedule pay A9578?

No. Its status X is a statutory exclusion from physician fee schedule payment. When covered, it is generally priced as a Part B drug through CMS quarterly ASP files.

Who decides whether Medicare covers A9578?

The Medicare contractor makes the coverage determination. Coverage is left to contractor judgment.

Which contrast agent code applies when the product is known?

Use the code identifying the specific drug and presentation, such as A9578 for gadobenate dimeglumine multipack. A9579 is for gadolinium-based MR contrast when the agent is not otherwise specified.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates

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