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See a sample rate comparisonHCPCS J9000 (Adriamycin) 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.
Injection, doxorubicin hydrochloride, 10 mg
| Key Fact | Detail |
|---|---|
| Service Type | Chemotherapy Drugs |
| Common Place of Service | None 11 - Office 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J9000 |
| Medicare Payment Limit | $3.018  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00069-0255-10 - PREMIERPRO RX DOXORUBICIN HCL SDV 2 MG/1 ML • 00069-0277-02 - DOXORUBICIN HCL 2 MG/1 ML • 00069-0343-02 - DOXORUBICIN HCL SDV 2 MG/1 ML • 00069-0358-20 - DOXORUBICIN HCL 2 MG/1 ML • 00069-1442-04 - PREMIERPRO RX DOXORUBICIN HCL MDV 2 MG/1 ML |
National average reimbursement for HCPCS J9000 by major payers:
$3.87
$4.73
$4.10
$3.83
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HCPCS J9000
5 of 25 sample ratesHigher to lower in this preview
Janice Macgillivray
Dana-Farber Cancer Institute
$12.15Published rateLaura Hollar-Wilt
Sutter Bay Medical Foundation
$6.42Published rateMir Ali
Sutter Bay Medical Foundation
$5.55Published rateKomaldeep Singh
$4.84Published rateJoy Howard
University Of Maryland Neurology Associates, P.A.
$2.83Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J9000 vs. Other Chemotherapy Drugs Codes
The HCPCS J9000 code is part of the Chemotherapy Drugs services . 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 J9000 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 |
|---|---|---|
| 00069-0255-10-NDC | Moderate | PREMIERPRO RX DOXORUBICIN HCL SDV 2 MG/1 ML |
| 00069-0277-02-NDC | Moderate | DOXORUBICIN HCL 2 MG/1 ML |
| 00069-0343-02-NDC | Moderate | DOXORUBICIN HCL SDV 2 MG/1 ML |
| J9000-HCPCS | Low | Injection, doxorubicin hydrochloride, 10 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J9000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9000 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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