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HCPCS J9017 (Arsenic Trioxide) 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, arsenic trioxide, 1 mg
Key FactDetail
Service Type

Chemotherapy Drugs

Common Place of Service

None

11 - Office

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for J9017
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

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS J9017.

HCPCS J9017
5 of 25 sample ratesHigher to lower in this preview
  1. Brookdale Hospital Medical Center, Brookdale Emergency Physicians Associates

    Brookdale Hospital Medical Center

    NYGeneral Acute Care HospitalNPI 1962451195Tax ID 11-1631746

    $89.09Published rate
  2. Fairview Health Services, Fairview Diagnostic Laboratory

    Fairview Health Services

    MNGeneral Acute Care HospitalNPI 1316008212Tax ID 41-0991680

    $8.47Published rate
  3. Multicare Health System, Multicare Deaconess Hospital

    Multicare Health System

    WAGeneral Acute Care HospitalNPI 1356528269Tax ID 91-1352172

    $7.19Published rate
  4. Leena Bondili

    NJHematology & Oncology PhysicianNPI 1255817649Tax ID 16-1711394

    $5.21Published rate
  5. Marion General Hospital, Inc.

    Ohiohealth Corporation

    OHGeneral Acute Care HospitalNPI 1215935366Tax ID 31-1070877

    $0.05Published rate

National sample. Rates vary by location, specialty, and contract.

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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)
10106-0061-04-NDCModerateARSENIC TRIOXIDE (A.C.S., REAGENT)
10106-0062-01-NDCModerateARSENIC TRIOXIDE (REAGENT)
J9017-HCPCSLowInjection, arsenic trioxide, 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 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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