HCPCS J9045 (Carboplatin) Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Chemotherapy Drugs |
| Common Place of Service | • None • 11 - Office • 22 - On Campus Outpatient Hospital |
| Complexity Level | Low |
| Medicare Payment Limit | $2.471  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00703-4244-01 - CARBOPLATIN (1X5ML) 10 MG/ML • 00703-4246-01 - CARBOPLATIN (1X15ML) 10 MG/ML • 00703-4248-01 - CARBOPLATIN 10 MG/ML • 16729-0295-12 - CARBOPLATIN (PF) 10 MG/1 ML • 16729-0295-34 - CARBOPLATIN (PF) 10 MG/1 ML |
National average reimbursement for HCPCS J9045 by major payers:
$4.14
$9.37
$5.35
$4.42
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS J9045 | ||||||
United | J9045 | $49.00 | 1811341720 - ERIC SINGHI | 760273984 - ASTRO FOOT CARE PA / GEORGE TRIADAFILOPOULOS MD INC / PHYSICIANS REFERRAL SERVICE | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9045 | $3.63 | 1386088490 - ANIL GEORGE | 260834681 - (TX) TEXAS CHILDRENS PHYSICIAN GROUP | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | J9045 | $3.26 | 1316988090 - PRAVEEN REDDY | 271648289 - STAMFORD HEALTH MEDICAL GROUP INC | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9045 | $3.63 | 1316904550 - PAUL SHAUGHNESSY | 262400924 - (TX) CARDIOLOGY CLINIC OF SAN ANTONIO PLLC / CHILDRENS CRITICAL CARE SPECIALISTS PLLC / EDWARD E HORVATH DO PA | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9045 | $3.63 | 1437543626 - CLEAR LAKE ONCOLOGY PLLC | 473346719 - (TX) CLEAR LAKE ONCOLOGY PLLC | TX | Medical Oncology Physician (207RX0202X) |
United | J9045 | $4.96 | 1316988090 - PRAVEEN REDDY | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9045 | $3.80 | 1316988090 - PRAVEEN REDDY | 61330992 - NORTHEAST MEDICAL GROUP INC | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9045 | $3.84 | 1659399087 - RUTH GONZALEZ | 752767003 | TX | Rheumatology Physician (207RR0500X) |
United | J9045 | $49.00 | 1891869335 - MICHAEL O'REILLY | 760273984 - ASTRO FOOT CARE PA / GEORGE TRIADAFILOPOULOS MD INC / PHYSICIANS REFERRAL SERVICE | TX | Radiation Oncology Physician (2085R0001X) |
United | J9045 | $3.91 | 1083613038 - DANNY CHOW | 814211994 - GENESIS MEDICAL GROUP | TX | Radiation Oncology Physician (2085R0001X) |
United | J9045 | $6.98 | 1518006501 - DERRICK NGUYEN | 742958277 - SCOTT & WHITE CLINIC | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9045 | $3.91 | 1316944655 - TEXAS CANCER CLINIC PA | 742873562 - (TX) TEXAS CANCER CLINIC PA | TX | Radiation Oncology Physician (2085R0001X) |
United | J9045 | $4.96 | 1346553187 - SUSMITA SAKRUTI | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9045 | $37.34 | 1407083645 - JENNIFER BROWN | 752668018 - (TX) ANESTHESIA ASSOCIATES OF EL PASO PA / CHAMIZAL EMERGENCY PHYSICIANS PLLC / DIAGNOSTIC OUTPATIENT IMAGING PARTNERSHIP LTD | TX | Gynecologic Oncology Physician (207VX0201X) |
United | J9045 | $3.63 | 1154697969 - ERIN BUTLER | 756002868 - ABKSW PREFERRED HEALTH PARTNERS PLLC / ACTION FAMILY CARE PLLC / ADAM S MINER MD PA | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS J9045 vs. Other Chemotherapy Drugs Codes
The HCPCS J9045 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 J9045 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 |
|---|---|---|
| 00703-4244-01-NDC | Moderate | CARBOPLATIN (1X5ML) 10 MG/ML |
| 00703-4246-01-NDC | Moderate | CARBOPLATIN (1X15ML) 10 MG/ML |
| 00703-4248-01-NDC | Moderate | CARBOPLATIN 10 MG/ML |
| J9045-HCPCS | Low | Injection, carboplatin, 50 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J9045. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9045 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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