HCPCS Level IIsuppliesActive
A9576
Inj prohance multipack
BETOS: I1E
Effective: 2008-01-01
Referenced in 2 policies
Description
Injection, gadoteridol, (prohance multipack), per ml
Medicare Fee Schedule
2026 Medicare Physician Fee Schedule national payment rates
Statutory Exclusion
This code has a statutory exclusion from Medicare coverage.
Coverage Policies