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See a sample rate comparisonHCPCS J9245 (Alkeran) 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, melphalan hydrochloride, not otherwise specified, 50 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 J9245 |
| Medicare Payment Limit | $95.901  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 23155-0355-41 - MELPHALAN HYDROCHLORIDE W/ DILUENT,FREEZE-DRIED 50 MG • 25021-0258-61 - MELPHALAN HYDROCHLORIDE (W/10ML DILUENT,PF) 50 MG • 43598-0392-48 - MELPHALAN HYDROCHLORIDE (W/ 10ML DILUENT) 50 MG • 45963-0686-02 - MELPHALAN HYDROCHLORIDE (W/ 10ML DILUENT,PF) 50 MG • 45963-0687-49 - MELPHALAN HYDROCHLORIDE (INNER VIAL NDC,PF) 50 MG |
National average reimbursement for HCPCS J9245 by major payers:
$176.23
$200.41
$232.60
$190.98
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HCPCS J9245
5 of 25 sample ratesHigher to lower in this preview
Mercy Hospitals East Communities, Mercy Hospital St Louis
Mercy Hospitals East Communities
$265.39Published rateRadiation Oncology, PC
$155.33Published rateNewberry County Memorial Hospital
$141.71Published rateBruce Haffty
$133.69Published rateMichael Chang
$68.18Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J9245 vs. Other Chemotherapy Drugs Codes
The HCPCS J9245 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 J9245 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 |
|---|---|---|
| 23155-0355-41-NDC | Moderate | MELPHALAN HYDROCHLORIDE W/ DILUENT,FREEZE-DRIED 50 MG |
| 25021-0258-61-NDC | Moderate | MELPHALAN HYDROCHLORIDE (W/10ML DILUENT,PF) 50 MG |
| 43598-0392-48-NDC | Moderate | MELPHALAN HYDROCHLORIDE (W/ 10ML DILUENT) 50 MG |
| J9245-HCPCS | Low | Injection, melphalan hydrochloride, not otherwise specified, 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 J9245. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9245 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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