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HCPCS J9175 (Elliotts B) 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, Elliotts' B solution, 1 ml
Key FactDetail
Service Type

Chemotherapy Drugs

Common Place of Service

None

11 - Office

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for J9175
WAC Price
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National average reimbursement for HCPCS J9175 by major payers:

bcbs

$10.80

uhc

$10.90

aetna

$10.56

cigna

$8.69

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS J9175.

HCPCS J9175
5 of 25 sample ratesHigher to lower in this preview
  1. Cartersville Medical Center LLC, Cartersville Medical Center

    Cartersville Medical Center LLC

    GAGeneral Acute Care HospitalNPI 1780638833Tax ID 58-2433438

    $22.50Published rate
  2. Charles Farber

    NJHematology & Oncology PhysicianNPI 1144218215Tax ID 20-2088165

    $11.64Published rate
  3. Waqas Rehman

    NJHematology & Oncology PhysicianNPI 1750546610Tax ID 20-543270

    $11.11Published rate
  4. Sidra Qazi

    NJGeneral Acute Care HospitalNPI 1962714212Tax ID 20-1838374

    $10.19Published rate
  5. Nassau Health Care Corporation, Numc Department Of Neurology, Fpp

    NYGeneral Acute Care HospitalNPI 1811912405Tax ID 11-3465690

    $9.18Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS J9175 vs. Other Chemotherapy Drugs Codes

The HCPCS J9175 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 J9175 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.

CodeComplexityDescription
J9173-HCPCSLowInjection, durvalumab, 10 mg
J9175-HCPCSLowInjection, Elliotts' B solution, 1 ml
J9176-HCPCSLowInjection, elotuzumab, 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 J9175. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J9175 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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