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See a sample rate comparisonHCPCS J8655 (Akynzeo) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Netupitant 300 mg and palonosetron 0.5 mg, oral
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Chemotherapy Drugs, Oral and IV Administration |
| Common Place of Service | 11 - Office None 99 - Other POS |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for J8655 |
| Medicare Payment Limit | $422.893  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 69639-0101-01 - AKYNZEO (HARD GELATIN) 300 MG-0.5 MG |
National average reimbursement for HCPCS J8655 by major payers:
$402.03
$445.37
$466.86
$432.51
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HCPCS J8655
5 of 25 sample ratesHigher to lower in this preview
Carolinas Medical Center, Atrium Health Mercy
$964.96Published rateMarkus Plate
$536.32Published rateNewberry County Memorial Hospital
$424.25Published rateFroedtert Memorial Lutheran Hospital, Inc., Froedtert Hospital
St Josephs Community Hospital Of West Bend Inc
$399.86Published rateMarion General Hospital, Inc.
Ohiohealth Corporation
$4.00Published rate
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See a sample payer proposalHCPCS J8655 vs. Other Chemotherapy Drugs, Oral and IV Administration Codes
The HCPCS J8655 code is part of the Drugs Administered Other than Oral Method services used for Chemotherapy Drugs, Oral and IV Administration. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J8655 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 69639-0101-01-NDC | Moderate | AKYNZEO (HARD GELATIN) 300 MG-0.5 MG |
| J8655-HCPCS | Moderate | Netupitant 300 mg and palonosetron 0.5 mg, oral |
| J8670-HCPCS | Low | Rolapitant, oral, 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J8655. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J8655 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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