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HCPCS J9017 (Arsenic Trioxide) Fee Schedule

Last Verified: January 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
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$80.181043318967 - UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, UCSF MEDICAL CENTER943281660CAGeneral Acute Care Hospital (282N00000X)
United
J9017$5.151891782371 - HEMANG DAVE223141761NJHematology & Oncology Physician (207RH0003X)
United
J9017$4.671194741181 - NASSAU HEALTH CARE CORPORATION, NUMC DEPARTMENT OF PEDIATRICS, FPP113465690NYGeneral Acute Care Hospital (282N00000X)
United
J9017$6.261780921825 - SUNGGEUN LEE132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONNYGeneral Acute Care Hospital (282N00000X)
United
J9017$5.211255817649 - LEENA BONDILI161711394NJHematology & Oncology Physician (207RH0003X)
United
J9017$5.611427084268 - NEELAM TODI223487984NJHematology & Oncology Physician (207RH0003X)
United
J9017$25.391790297547 - HMH HOSPITALS CORPORATION, JERSEY SHORE UNIVERSITY MEDICAL CENTER221487576 - HACKENSACK MERIDIAN HEALTH INCNJGeneral Acute Care Hospital (282N00000X)
United
J9017$89.091962451195 - BROOKDALE HOSPITAL MEDICAL CENTER, BROOKDALE EMERGENCY PHYSICIANS ASSOCIATES111631746 - BROOKDALE HOSPITAL MEDICAL CENTERNYGeneral Acute Care Hospital (282N00000X)
United
J9017$6.481124372677 - LORETA GARRETSON210634549NJHematology & Oncology Physician (207RH0003X)
United
J9017$11.321164993457 - MONROE HEALTH SERVICES, INC.320583236 - MONROE HEALTH SERVICES INCMSGeneral Acute Care Hospital (282N00000X)
United
J9017$4.941326287624 - MADHURIMA ANNE223376459NJHematology & Oncology Physician (207RH0003X)
United
J9017$12.031649278730 - UPMC ALTOONA231352155 - UPMCPAGeneral Acute Care Hospital (282N00000X)
United
J9017$5.571982692851 - BRUNO FANG852303328NJHematology & Oncology Physician (207RH0003X)
United
J9017$7.191679587679 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION, NORTH CENTRAL BRONX HOSPITAL132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONNYGeneral Acute Care Hospital (282N00000X)
United
J9017$7.191144471715 - PROVIDENCE HEALTH & SERVICES, PROV SCRED HRT MED CTR & CHLDS HOS364640211WAGeneral 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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