Home › Drug Codes › A Codes › A9577 · MULTIHANCE
Updated July 1st, 2026

MULTIHANCE A Code: A9577

Injection, gadobenate dimeglumine (multihance), per ml

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Q4 2026 Medicare Payment Limit for A9577, effective October 1, 2026: $1.804 per HCPCS billing unit, up 0.7% from $1.791. From CMS's final file.

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Medicare Payment Limit ?
$1.791
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
4
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Drug & Product Overview

HCPCS Descriptor Injection, gadobenate dimeglumine (multihance), per ml
HCPCS Added Date January 1, 2008
Manufacturer Bracco Diagnostics Inc
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Injection, Solution

About MULTIHANCE

Multihance is a medication aligned to the HCPCS A Code: A9577 for billing, pricing, and reimbursement purposes in the United States. It is an Imaging/Radiopharmaceutical drug administered via the intravenous route and manufactured by Bracco Diagnostics Inc.

According to CMS Drug Use Information: This medication is used before a magnetic resonance imaging (MRI) scan. It belongs to a class of drugs known as gadolinium-based contrast agents (GBCAs). This medication helps the MRI scan make clearer images, so your doctor can more easily diagnose your condition.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00270-5164-12 MultiHance BRACCO DIAGNOSTICS INC 25 2645 MG / 5 ML
00270-5164-13 MultiHance BRACCO DIAGNOSTICS INC 50 5290 MG / 10 ML
00270-5164-14 MultiHance BRACCO DIAGNOSTICS INC 75 7935 MG / 15 ML
00270-5164-15 MultiHance BRACCO DIAGNOSTICS INC 100 10580 MG / 20 ML
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MULTIHANCE Pricing & Reimbursement

A9577 Private Payer Reimbursement
$1.61 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

MULTIHANCE CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96374 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug), IV push, single, or initial substance/drug
96375 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug.
Not on the CMS JW / JZ list

CMS does not include Multihance (A9577) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A9577. Wastage billing guide →

MULTIHANCE Medically Unlikely Edits (MUE)

The most billing units of A9577 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 ml.

Practitioner Office & Hospital Outpatient
50 units / day
= 50 ml per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

ml Enter a dose to see how many billing units it is and whether it is under the limit.

MULTIHANCE Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

MRA of Renal and Aorto-ilio-femoral Vessels MRI of the Central Nervous System (CNS)
Drug Class
Gadolinium-based Contrast Agent [EPC]Magnetic Resonance Contrast Activity [MoA]

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Frequently Asked Questions

Is there an available Multihance billing and coding guide?
Billing and coding information for MULTIHANCE can be found through Bracco Diagnostics. Visit Here →
Are there any available Multihance patient assistance programs?
Our team has not identified a manufacturer-published source of patient assistance information for MULTIHANCE.
Where can I find Multihance prescribing information?
MULTIHANCE prescribing information can be found at the link below: Visit Here →
Where can I find Multihance side effect information?
Our team has not yet identified a source of side effects information for MULTIHANCE. Please check back in a few weeks.
Does billing MULTIHANCE require JZ/JW wastage modifiers?
CMS does not include MULTIHANCE (A9577) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing A9577. For more information, visit the link below.

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