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See a sample rate comparisonHCPCS J9285 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, olaratumab, 10 mg
| Key Fact | Detail |
|---|---|
| Service Type | Chemotherapy Drugs |
| Common Place of Service | 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J9285 |
National average reimbursement for HCPCS J9285 by major payers:
$36.93
$62.67
$52.79
$55.11
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HCPCS J9285
5 of 25 sample ratesHigher to lower in this preview
Columbia Hospital At Medical City Dallas Subsidiary Lp, Medical City Dallas
$160.46Published rateOksana Yaskiv
North Shore-Lij Medical PC
$78.98Published rateEisenhower Medical Center, Eisenhower
Eisenhower Medical Center
$61.91Published rateBeaver Valley Hospital
$58.93Published rateGopal Desai
$51.27Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J9285 vs. Other Chemotherapy Drugs Codes
The HCPCS J9285 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 J9285 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 |
|---|---|---|
| J9281-HCPCS | Moderate | Mitomycin pyelocalyceal instillation, 1 mg |
| J9285-HCPCS | Low | Injection, olaratumab, 10 mg |
| J9293-HCPCS | Low | Injection, mitoxantrone hydrochloride, per 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 J9285. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9285 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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