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HCPCS Q9956

Injection, octafluoropropane microspheres, per ml

$41.27Medicare-allowed amount per service, averaged across 14,280 services
Providers submitted
$127.01

Asking price, not received

Medicare allowed
$41.27

The fee schedule figure

Medicare paid
$31.84

Balance is patient coinsurance

Providers submitted an average of $127.01 for this code and Medicare allowed $41.27 — 3.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $31.84 (77%); the rest is the patient’s coinsurance and deductible.

Services
14,280

Medicare Part B, 2024

Beneficiaries
5,302
Providers billing it
148
Total allowed
$589,336

Services × allowed amount

What Medicare pays for HCPCS Q9956

Across 14,280 services billed by 148 providers to 5,302 beneficiaries, Medicare allowed an average of $41.27 per service. That is 2.7 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

This is a drug or supply code rather than a service. The unit is usually a dose or a milligram, so the per-service figure is small by construction and the total is what carries meaning — read it alongside the service count rather than on its own.

Who bills Q9956

SpecialtyServicesBeneficiariesAvg allowedProviders
Cardiology8,4743,243$41.19114
Independent Diagnostic Testing Facility (IDTF)2,931911$41.681
Interventional Cardiology1,596615$41.4619
Internal Medicine1,086439$40.7810
Clinical Cardiac Electrophysiology9932$38.542
Interventional Radiology6151$41.021
Advanced Heart Failure and Transplant Cardiology3311$42.131

Q9956 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

StateServicesAllowedStandardized pmtProviders
Missouri4,195$41.71$31.876
Texas1,895$41.76$33.1826
Illinois1,815$41.44$32.3218
Wisconsin1,573$41.37$32.1519
Alabama964$36.42$28.8312
Minnesota935$41.58$32.2718
New York848$41.01$32.779
California668$41.88$32.779
North Carolina446$42.11$33.3510
South Dakota300$42.20$33.501
Virginia153$41.81$30.087
Louisiana123$41.94$33.413
Ohio81$41.22$30.522
Michigan78$42.26$33.111
New Jersey66$41.50$33.064
Arizona61$41.02$31.471
Indiana46$42.70$34.021
Florida33$41.85$33.341

Related codes

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.