HCPCS J9320 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 | • 20 - Urgent Care Facility |
| Complexity Level | Moderate |
National average reimbursement for HCPCS J9320 by major payers:
$345.86
$384.40
$374.55
$379.86
| 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 J9320 | ||||||
United | J9320 | $400.42 | 1457306045 - MEI ZHANG | 223841015 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9320 | $485.60 | 1548264120 - MICHAEL GREENBERG | 464855345 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9320 | $370.50 | 1295170058 - DAVID GUTTMANN | 593801080 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9320 | $359.70 | 1801870365 - DAVID CHO | 223172481 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9320 | $388.44 | 1700045051 - ANUJ GOENKA | 453023019 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9320 | $400.42 | 1265430433 - ARVIN ADLER | 884200747 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9320 | $496.76 | 1578560504 - JEFFERSON REGIONAL MEDICAL CENTER | 251838458 - HIGHMARK HEALTH | PA | General Acute Care Hospital (282N00000X) |
United | J9320 | $428.04 | 1306098827 - AMIT PATEL | 852303328 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9320 | $341.72 | 1538116041 - PAMELA CRILLEY | 810889110 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9320 | $359.70 | 1104870450 - GOPAL DESAI | 223371727 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9320 | $370.50 | 1104169515 - LINDA CHEN | 611791803 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9320 | $359.70 | 1801876081 - MICHAEL SCOPPETUOLO | 223403774 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9320 | $323.73 | 1891717708 - STEPHEN ABO | 454832340 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9320 | $359.70 | 1548338338 - GEORGE RAPTIS | 454832340 | NJ | Medical Oncology Physician (207RX0202X) |
United | J9320 | $359.70 | 1184156622 - VELI BAKALOV | 223266219 | 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 |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
HCPCS J9320 vs. Other Chemotherapy Drugs Codes
The HCPCS J9320 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 J9320 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 |
|---|---|---|
| J9319-HCPCS | Low | Injection, romidepsin, lyophilized, 0.1 mg |
| J9320-HCPCS | Moderate | Injection, streptozocin, 1 gram |
| J9322-HCPCS | Low | Injection, pemetrexed (bluepoint) not therapeutically equivalent to j9305, 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 J9320. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9320 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS J9320) and we'll show you how you compare in 15 minutes or less.