HCPCS J9340 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 | Moderate |
National average reimbursement for HCPCS J9340 by major payers:
$203.72
$247.81
$284.39
$236.75
| 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 J9340 | ||||||
United | J9340 | $246.85 | 1306065479 - KATHY LO | 421548981 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9340 | $199.58 | 1043482342 - ROBERT COLE | 460961495 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9340 | $188.11 | 1649558586 - TIFFANY POMPA | 454832340 | NJ | Hematology (Internal Medicine) Physician (207RH0000X) |
United | J9340 | $246.85 | 1326097163 - DANVILLE VAMC | 370662493 - DANVILLE VAMC | IL | General Acute Care Hospital (282N00000X) |
United | J9340 | $221.75 | 1255440962 - RINI PALATHINGAL | 452548322 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9340 | $722.42 | 1356599989 - JOHNS HOPKINS BAYVIEW | 520595110 - JOHNS HOPKINS UNIVERSITY | MD | General Acute Care Hospital (282N00000X) |
United | J9340 | $228.39 | 1386915122 - YAO YU | 593801080 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9340 | $243.92 | 1144255498 - STEPHEN WALLACE | 223141761 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9340 | $199.58 | 1679866214 - JESSICA TAFF | 223316007 | NJ | Hematology (Internal Medicine) Physician (207RH0000X) |
United | J9340 | $199.58 | 1558341735 - STUART LEITNER | 454832340 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9340 | $221.75 | 1295154680 - NICHOLAS DENUNZIO | 223371727 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9340 | $221.61 | 1902465065 - THIBODAUX REGIONAL HEALTH SYSTEM INC | 842046902 - (LA) THIBODAUX REGIONAL HEALTH SYSTEM INC | LA | General Acute Care Hospital (282N00000X) |
United | J9340 | $246.85 | 1538145123 - JOSEPH LATTANZI | 223444048 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9340 | $253.33 | 1528050374 - DENNIS LOWENTHAL | 202088165 | NJ | Medical Oncology Physician (207RX0202X) |
United | J9340 | $203.05 | 1912932765 - MARK LEVIN | 264709927 | 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 J9340 vs. Other Chemotherapy Drugs Codes
The HCPCS J9340 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 J9340 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 |
|---|---|---|
| J9332-HCPCS | Low | Injection, efgartigimod alfa-fcab, 2mg |
| J9340-HCPCS | Moderate | Injection, thiotepa, 15 mg |
| J9347-HCPCS | Low | Injection, tremelimumab-actl, 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J9340. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9340 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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