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Initial Visit $195 Provider visit + first 2 weeks of medication included 2-Week Follow-Up From $90 Provider visit + vitals and weigh-in + 2 weeks of medication included Monthly Follow-Up From $115 Provider visit + vitals and weigh-in + 4 weeks of medication included HSA & FSA accepted

Common Side Effects Injection-site reactions: Discomfort, redness or soreness at the site can occur

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## **HCPCs code a9575 billing requirements** Billing for A9575 requires strict alignment with administered dosage and claim form detail: - Report per 0.1 mL unit of gadoterate meglumine administered