HCPCS J9303 (Vectibix) 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 | $173.03  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 55513-0954-01 - VECTIBIX 20 MG/ML • 55513-0956-01 - VECTIBIX 20 MG/ML |
National average reimbursement for HCPCS J9303 by major payers:
$171.81
$171.47
$173.60
$168.88
| 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 J9303 | ||||||
United | J9303 | $165.71 | 1336404748 - CHISAROKA ECHENDU | 760453250 - (TX) BAPTIST PHYSICIAN NETWORK | TX | Radiation Oncology Physician (2085R0001X) |
United | J9303 | $168.21 | 1912109935 - SABA KHAN | 461307769 - (TX) SABA KHAN MD PA | TX | Rheumatology Physician (207RR0500X) |
United | J9303 | $178.47 | 1922768142 - LONESTAR RHEUMATOLOGY, PLLC | 873127696 - (TX) LONESTAR RHEUMATOLOGY PLLC | TX | Rheumatology Physician (207RR0500X) |
United | J9303 | $176.66 | 1801869235 - EDWARD EICHLER | 752232441 - ED EICHLER, M.D. P.A. | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9303 | $184.47 | 1952504045 - MARC USREY | 752288596 - (TX) TYLER HEMATOLOGY ONCOLOGY PA | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9303 | $318.16 | 1407387533 - DANIEL EMESIANI | 752536818 - HEALTHTEXAS PROVIDER NETWORK | TX | Rheumatology Physician (207RR0500X) |
United | J9303 | $184.47 | 1912109935 - SABA KHAN | 461307769 - (TX) SABA KHAN MD PA | TX | Rheumatology Physician (207RR0500X) |
United | J9303 | $165.71 | 1952504045 - MARC USREY | 752931720 - ETMC PHYSICIAN GROUP INC / EVMS ACADEMIC PHYSICIANS AND SURGEONS HEALTH SERVICES FOUNDATION / UNIVERSITY OF TEXAS HEALTH CENTER AT TYLER | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9303 | $225.52 | 1033632393 - RUBA MEMON | 300520570 - (TX) METHODIST HOSPITAL | TX | Rheumatology Physician (207RR0500X) |
United | J9303 | $175.64 | 1760686737 - MARGARITA FALLENA | 921383306 - (TX) NORTH TEXAS CENTER FOR RHEUMATOLOGY | TX | Rheumatology Physician (207RR0500X) |
United | J9303 | $168.21 | 1760686737 - MARGARITA FALLENA | 921383306 - (TX) NORTH TEXAS CENTER FOR RHEUMATOLOGY | TX | Rheumatology Physician (207RR0500X) |
United | J9303 | $165.71 | 1285029579 - CHIMI LINDA FOSSO | 271371893 - ASCENSION VIA CHRISTI HOSPITAL ST TERESA INC / HOSPITALIST MEDICINE HEALTHCARE LLC / HOSPITALIST MEDICINE PHYSICIANS OF TEXAS PLLC | TX | Hematology & Oncology Physician (207RH0003X) |
United | J9303 | $87.38 | 1205925112 - MARCELA TORRES | 752485366 - COOK CHILDRENS PHYSICIAN NETWORK | TX | Pediatric Hematology & Oncology Physician (2080P0207X) |
United | J9303 | $175.64 | 1780617282 - GAUTAM MOORJANI | 161751617 - (TX) RHEUMATOLOGY ASSOCIATES OF SOUTH TEXAS PLLC | TX | Rheumatology Physician (207RR0500X) |
United | J9303 | $227.08 | 1164867461 - AMI PATEL-YADAV | 752131429 - US ONCOLOGY CORPORATE, INC. | 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 J9303 vs. Other Chemotherapy Drugs Codes
The HCPCS J9303 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 J9303 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 |
|---|---|---|
| 55513-0954-01-NDC | Moderate | VECTIBIX 20 MG/ML |
| 55513-0956-01-NDC | Moderate | VECTIBIX 20 MG/ML |
| 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 J9303. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9303 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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