HCPCS J9334 (Vyvgart Hytrulo) 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 |
| Complexity Level | Low |
| Medicare Payment Limit | $33.888  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J9334 by major payers:
$34.88
$40.54
$65.79
$39.52
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | J9334 | $33.13 | 1912136011 - HINA KHAN | 931097258 | OR | Family Medicine Physician (207Q00000X) |
United | J9334 | $33.13 | 1376549204 - FILOMENO GONZALEZ | 824863709 - (TX) PAK MEDICAL GROUP PLLC | TX | Family Medicine Physician (207Q00000X) |
United | J9334 | $33.16 | 1518935006 - ALAN TRAN | 870784009 | TX | Family Medicine Physician (207Q00000X) |
United | J9334 | $33.13 | 1881677318 - NATHALIE JACQMOTTE | 930599056 - (OR) NORTHWEST PRIMARY CARE GROUP, PC | OR | Family Medicine Physician (207Q00000X) |
United | J9334 | $33.13 | 1972664076 - ENRIQUE LEAL | 812650784 - (TX) SWEENY MEDICAL CLINIC | TX | Family Medicine Physician (207Q00000X) |
United | J9334 | $33.13 | 1215975677 - OLIVIA GALVEZ | 931180397 - (OR) WILLAMETTE FAMILY MEDICAL CENTER | ID | Family Medicine Physician (207Q00000X) |
United | J9334 | $33.16 | 1619157492 - PRABHUGOUDA PATIL | 10658223 - (TX) PRABHU B PATILMDPA | TX | Internal Medicine Physician (207R00000X) |
United | J9334 | $47.09 | 1235360223 - RAMA DILIP GAJULAPALLI | 340714585 - THE CLEVELAND CLINIC FOUNDATION | OH | Internal Medicine Physician (207R00000X) |
United | J9334 | $33.13 | 1467523951 - CYNTHIA BARTLEY | 300502262 | OR | Internal Medicine Physician (207R00000X) |
United | J9334 | $33.16 | 1073856324 - BEAU SOBER | 930602940 - ST CHARLES HEALTH SYSTEM INC | WA | Internal Medicine Physician (207R00000X) |
United | J9334 | $33.13 | 1497352587 - CDR HEALTH CARE INC | 850833932 - (FL) CDR HEALTH CARE INC | MS | Family Medicine Physician (207Q00000X) |
United | J9334 | $32.24 | 1396784286 - PAULINE AHAMNEZE | 841832545 | TX | Family Medicine Physician (207Q00000X) |
United | J9334 | $33.13 | 1952930653 - ALEXANDER HERMESCH | 480764456 - (KS) NEMAHA VALLEY COMMUNITY HOSPITAL | KS | Family Medicine Physician (207Q00000X) |
United | J9334 | $32.24 | 1952553745 - LAURA ADAMS | 930602940 - ST CHARLES HEALTH SYSTEM INC | OR | Internal Medicine Physician (207R00000X) |
United | J9334 | $33.13 | 1831532100 - AARON BROWN | 930583856 - COLUMBIA LUTHERAN CHARITIES | OR | Internal Medicine Physician (207R00000X) |
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 J9334 vs. Other Chemotherapy Drugs Codes
The HCPCS J9334 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 J9334 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 |
|---|---|---|
| J9334-HCPCS | Low | Injection, efgartigimod alfa, 2 mg and hyaluronidase-qvfc |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J9334. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9334 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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