HCPCS J9302 (Arzerra) 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 |
| Complexity Level | Low |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J9302 by major payers:
$67.07
$66.82
$65.20
$66.20
| 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 J9302 | ||||||
United | J9302 | $69.19 | 1790768125 - MICHAEL MARCHESE | 223333450 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9302 | $64.01 | 1043606957 - DIANA ROTH O'BRIEN | 593801080 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9302 | $62.15 | 1952795775 - JOSEPH LOMBARDO | 223587486 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9302 | $62.15 | 1649289364 - JENNIFER WAGMILLER | 814786011 | NJ | Medical Oncology Physician (207RX0202X) |
United | J9302 | $69.19 | 1255817649 - LEENA BONDILI | 161711394 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9302 | $67.55 | 1871936898 - PAYAL SONI | 20543270 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9302 | $62.15 | 1770967754 - OGECHUKWU EGINI | 223371727 | NJ | Hematology (Internal Medicine) Physician (207RH0000X) |
United | J9302 | $49.72 | 1356357479 - ARVIND KUMAR | 223439054 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9302 | $62.15 | 1417274143 - DAVID MULVIHILL | 223587486 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9302 | $72.40 | 1346311073 - NOAH LINDENBERG | 231893623 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9302 | $80.13 | 1215274949 - RUMANA SULTANA | 301007458 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9302 | $69.19 | 1548536766 - HUDSON HEMATOLOGY ONCOLOGY LLC | 454211891 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9302 | $62.15 | 1568411908 - CLARISSA HENSON | 460961495 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9302 | $62.15 | 1760400451 - FAITH YOUNG | 223266219 | NJ | Medical Oncology Physician (207RX0202X) |
United | J9302 | $83.27 | 1649366832 - DAMANJIT GHUMAN | 421742483 | NJ | Hematology & Oncology Physician (207RH0003X) |
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 J9302 vs. Other Chemotherapy Drugs Codes
The HCPCS J9302 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 J9302 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 |
|---|---|---|
| J9301-HCPCS | Low | Injection, obinutuzumab, 10 mg |
| J9302-HCPCS | Low | Injection, ofatumumab, 10 mg |
| J9303-HCPCS | Low | Injection, panitumumab, 10 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J9302. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9302 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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