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See a sample rate comparisonHCPCS J9119 (Libtayo) 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, cemiplimab-rwlc, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Chemotherapy Drugs |
| Common Place of Service | None 11 - Office 22 - On Campus Outpatient Hospital |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J9119 |
| Medicare Payment Limit | $29.293  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 61755-0008-01 - LIBTAYO 50 MG/1 ML |
National average reimbursement for HCPCS J9119 by major payers:
$31.32
$30.37
$31.37
$29.96
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HCPCS J9119
5 of 25 sample ratesHigher to lower in this preview
Emanuel Petroulakis
UPMC
$48.61Published rateLaura Picciano
Main Line Healthcare
$33.84Published rateMaged Boutros
Ayman Z Matta Md PC / New Jersey Eye Institute Inc
$31.39Published rateAnna Harutyunyan
Medical Group Of Bergen PC
$29.80Published rateReem Jaber-Iqbal
Ridgewood Medical Associates, LLC
$22.56Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J9119 vs. Other Chemotherapy Drugs Codes
The HCPCS J9119 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 J9119 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 |
|---|---|---|
| 61755-0008-01-NDC | Moderate | LIBTAYO 50 MG/1 ML |
| J9118-HCPCS | Low | Injection, calaspargase pegol-mknl, 10 units |
| J9119-HCPCS | Low | Injection, cemiplimab-rwlc, 1 mg |
| J9120-HCPCS | Moderate | Injection, dactinomycin, 0.5 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J9119. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9119 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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