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See a sample rate comparisonHCPCS J9029 (Adstiladrin) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose
| Key Fact | Detail |
|---|---|
| Service Type | Chemotherapy Drugs |
| Common Place of Service | 11 - Office None 22 - On Campus Outpatient Hospital |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for J9029 |
| Medicare Payment Limit | $63342.282  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J9029 by major payers:
$53,056.73
$66,126.31
$67,325.28
$64,173.00
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HCPCS J9029
5 of 25 sample ratesHigher to lower in this preview
Cap Cod Hospital
Cape Cod Healthcare Inc
$95,103.06Published rateSouthwest Healthcare Of Brown County Ohio, LLC, Southwest Regional Medical Center
$70,579.78Published rateGadsden Regional Medical Center LLC, Gadsden Regional Medical Center
$67,309.28Published rateSavoy Medical Management Group, Inc., Savoy Medical Center
Savoy Medical Management Group Inc
$63,402.03Published rateBenjamin Freeman
$57,019.28Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J9029 vs. Other Chemotherapy Drugs Codes
The HCPCS J9029 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 J9029 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 |
|---|---|---|
| J9027-HCPCS | Low | Injection, clofarabine, 1 mg |
| J9029-HCPCS | High | Intravesical instillation, nadofaragene firadenovec-vncg, per therapeutic dose |
| J9030-HCPCS | Low | BCG live intravesical instillation, 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 J9029. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9029 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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