HCPCS J9171 (Docetaxel) 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 | $0.626  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00143-9204-01 - DOCETAXEL (USP,SDV,LATEX-FREE) 20 MG/1 ML • 00143-9205-01 - DOCETAXEL (USP,SDV,LATEX-FREE) 20 MG/1 ML • 00409-0016-01 - DOCETAXEL NOVAPLUS (MDV,LATEX-FREE) 10 MG/1 ML • 00409-0365-01 - PREMIERPRO RX DOCETAXEL (1X8ML;MDV,LATEX-FREE) 20 MG/1 ML • 00409-0366-01 - DOCETAXEL 20 MG/1 ML |
National average reimbursement for HCPCS J9171 by major payers:
$0.97
$2.00
$1.58
$0.95
| 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 J9171 | ||||||
United | J9171 | $5.69 | 1265963847 - ALYSSA KWOK | 550853118 - CENTRAL TEXAS COMMUNITY HEALTH CENTERS | TX | Rheumatology Physician (207RR0500X) |
United | J9171 | $5.76 | 1407048630 - LORETTA NASTOUPIL | 840405257 - CATHOLIC HEALTH INITIATIVES COLORADO | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9171 | $1.00 | 1588906457 - GARY LU | 752131429 - US ONCOLOGY CORPORATE, INC. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9171 | $0.87 | 1013955095 - JESSICA HALS | 752512142 - (TX) ONCOLOGYHEMATOLOGY CONSULTANTS PA | TX | Medical Oncology Physician (207RX0202X) |
United | J9171 | $0.76 | 1417342478 - LEILA MUHIEDDINE | 261195533 - (TX) NAMIETA M JANSSEN MD PLLC | TX | Rheumatology Physician (207RR0500X) |
United | J9171 | $0.98 | 1245572510 - AHMED ELKHANANY | 741613878 - (TX) BAYLOR COLLEGE OF MEDICINE | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9171 | $0.98 | 1245572510 - AHMED ELKHANANY | 300791563 - (TX) BAYLOR COLLEGE OF MEDICINE / CONTEMPORARY MEDICINE ASSOCIATES PLLC / ST LUKES COMMUNITY DEVELOPMENT CORPORATION | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9171 | $5.63 | 1568442960 - ASHA THOMAS | 475361193 - (IL) WESTBROOK WELLNESS INTERNAL MEDICINE SC | TX | Rheumatology Physician (207RR0500X) |
United | J9171 | $0.83 | 1215376132 - AMAN KUGASIA | 464454096 - (TX) ARTHRITIS CLINIC OF CYPRESS AND KATY PA | TX | Rheumatology Physician (207RR0500X) |
United | J9171 | $0.73 | 1912963497 - JAYANTHI LEA | 756002868 - ABKSW PREFERRED HEALTH PARTNERS PLLC / ACTION FAMILY CARE PLLC / ADAM S MINER MD PA | TX | Gynecologic Oncology Physician (207VX0201X) |
United | J9171 | $0.76 | 1700968005 - BROCK HARPER | 881180756 - (TX) AUSTIN DIAGNOSTIC CLINIC PA / CTRA PLLC | TX | Rheumatology Physician (207RR0500X) |
United | J9171 | $6.46 | 1841398302 - DARUKA MAHADEVAN | 741586031 - AMY HALANSKI MD PC / AUSTIN PATHOLOGY ASSOCIATES / BEXAR COUNTY HOSPITAL DISTRICT | TX | Medical Oncology Physician (207RX0202X) |
United | J9171 | $0.73 | 1083632319 - FILEMON TAN | 760459500 - U T PHYSICIANS | TX | Rheumatology Physician (207RR0500X) |
United | J9171 | $0.73 | 1588906457 - GARY LU | 232380812 - ST LUKES PHYSICIAN GROUP INC | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9171 | $0.87 | 1760487474 - JOHN FELDMEIER | 883153305 - (TX) TEXAS INTEGRATED MEDICAL SPECIALISTS PLLC | TX | Radiation Oncology Physician (2085R0001X) |
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 J9171 vs. Other Chemotherapy Drugs Codes
The HCPCS J9171 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 J9171 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 |
|---|---|---|
| 00143-9204-01-NDC | Moderate | DOCETAXEL (USP,SDV,LATEX-FREE) 20 MG/1 ML |
| 00143-9205-01-NDC | Moderate | DOCETAXEL (USP,SDV,LATEX-FREE) 20 MG/1 ML |
| 00409-0016-01-NDC | Moderate | DOCETAXEL NOVAPLUS (MDV,LATEX-FREE) 10 MG/1 ML |
| J9171-HCPCS | Low | Injection, docetaxel, 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 J9171. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9171 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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