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HCPCS J9017 (Arsenic Trioxide) Fee Schedule

Last Verified: November 2025

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, arsenic trioxide, 1 mg
Key FactDetail
Service Type

Chemotherapy Drugs

Common Place of Service

None

11 - Office

Complexity LevelLow
Medicare Payment Limit
$8.153BuyandBill.com
WAC Price
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Related NDC Codes

10106-0061-01 - ARSENIC TRIOXIDE (A.C.S., REAGENT)

10106-0061-04 - ARSENIC TRIOXIDE (A.C.S., REAGENT)

10106-0062-01 - ARSENIC TRIOXIDE (REAGENT)

10106-0062-04 - ARSENIC TRIOXIDE (REAGENT)

14789-0600-10 - ARSENIC TRIOXIDE (10X10 SDV,PF) 1 MG/1 ML


National average reimbursement for HCPCS J9017 by major payers:

bcbs

$9.78

uhc

$9.86

aetna

$13.77

cigna

$9.41

Preview provider-level rates for...
For billing codeHCPCS J9017
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS J9017

United
J9017$5.571487776373 - SAMEER DESAI852303328NJHematology & Oncology Physician (207RH0003X)
United
J9017$4.671902817844 - CH ALLIED SERVICES, INC., BOONE HOSPITAL CENTER431279063 - CH ALLIED SERVICES INCMOGeneral Acute Care Hospital (282N00000X)
United
J9017$7.191356528269 - MULTICARE HEALTH SYSTEM, MULTICARE DEACONESS HOSPITAL911352172 - MULTICARE HEALTH SYSTEMWAGeneral Acute Care Hospital (282N00000X)
United
J9017$7.191093777492 - MAIMONIDES MEDICAL CENTER111635081 - (NY) MAIMONIDES MEDICAL CENTER-NYGeneral Acute Care Hospital (282N00000X)
United
J9017$5.051003232976 - BANNER HEALTH, BANNER CASA GRANDE MEDICAL CENTER450233470 - BANNER HEALTHAZGeneral Acute Care Hospital (282N00000X)
United
J9017$4.671992720791 - OMEGA HOSPITAL LLC470901008 - (LA) OMEGA HOSPITAL, LLCLAGeneral Acute Care Hospital (282N00000X)
United
J9017$10.171841271459 - WEST VIRGINIA UNIVERSITY HOSPITALS, INC, WVU HOSPITALS, INC550643304 - WEST VIRGINIA UNIVERSITY HOSPITALS INCWVGeneral Acute Care Hospital (282N00000X)
United
J9017$12.031649278730 - UPMC ALTOONA231352155 - UPMCPAGeneral Acute Care Hospital (282N00000X)
United
J9017$7.191407364847 - TYLER REGIONAL HOSPITAL LLC823878395TXGeneral Acute Care Hospital (282N00000X)
United
J9017$7.421679695928 - MILA GORSKY133278578NJHematology & Oncology Physician (207RH0003X)
United
J9017$4.671417157405 - EMORY HEALTHCARE711018941 - CARDIAC ARRHYTHMIA INSTITUTEGAGeneral Acute Care Hospital (282N00000X)
United
J9017$13.031609860360 - OUR LADY OF THE LAKE ASSUMPTION COMMUNITY HOSPITAL, ASSUMPTION COMMUNITY HOSPITAL721495500 - (LA) OUR LADY OF THE LAKE ASSUMPTION COMMUNITY HOSPITAL INCLACritical Access Hospital (282NC0060X)
United
J9017$4.961457499618 - PETER YI222306123NJHematology & Oncology Physician (207RH0003X)
United
J9017$6.261134273170 - DUNSTAN ABRAHAM132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONNYGeneral Acute Care Hospital (282N00000X)
United
J9017$11.321396792032 - RIVER OAKS HOSPITAL LLC, MERIT HEALTH RIVER OAKS640626874 - (MS) RIVER OAKS HOSPITAL LLCMSGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS J9017 vs. Other Chemotherapy Drugs Codes

The HCPCS J9017 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 J9017 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.

CodeComplexityDescription
10106-0061-01-NDCModerateARSENIC TRIOXIDE (A.C.S., REAGENT)
J9015-HCPCSHighInjection, aldesleukin, per single use vial
J9017-HCPCSLowInjection, arsenic trioxide, 1 mg
J9019-HCPCSModerateInjection, asparaginase (Erwinaze), 1, 000 IU

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J9017. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J9017 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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