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See a sample rate comparisonHCPCS J9100 (Cytarabine) 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, cytarabine, 100 mg
| Key Fact | Detail |
|---|---|
| Service Type | Chemotherapy Drugs |
| Common Place of Service | None 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J9100 |
| Medicare Payment Limit | $0.83  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 25021-0223-20 - CYTARABINE (SDV,PF,LATEX-FREE) 100 MG/1 ML • 25021-0229-05 - CYTARABINE (SDV,PF,LATEX-FREE) 20 MG/1 ML • 61703-0155-01 - HEALTHTRUST CYTARABINE SDV 100 MG/1 ML • 61703-0305-38 - CYTARABINE (S.D.V. X 5,PF) 20 MG/ML • 71288-0109-20 - CYTARABINE (SDV,PF,LATEX-FREE) 100 MG/1 ML |
National average reimbursement for HCPCS J9100 by major payers:
$0.82
$0.98
$0.96
$0.87
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HCPCS J9100
5 of 25 sample ratesHigher to lower in this preview
North Shore Medical Center, Inc., North Shore Medical Center
North Shore Medical Center Inc
$60.00Published rateManuj Agarwal
$0.87Published rateCarrie Wasserman
$0.81Published rateArunabh Sekhri
$0.79Published rateMichael Schwartz
$0.51Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J9100 vs. Other Chemotherapy Drugs Codes
The HCPCS J9100 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 J9100 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 |
|---|---|---|
| 25021-0223-20-NDC | Moderate | CYTARABINE (SDV,PF,LATEX-FREE) 100 MG/1 ML |
| 25021-0229-05-NDC | Moderate | CYTARABINE (SDV,PF,LATEX-FREE) 20 MG/1 ML |
| 61703-0155-01-NDC | Moderate | HEALTHTRUST CYTARABINE SDV 100 MG/1 ML |
| J9100-HCPCS | Low | Injection, cytarabine, 100 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J9100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9100 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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