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HCPCS J9352 (Yondelis) Fee Schedule

Last Verified: October 2026

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.

Injection, trabectedin, 0.1 mg
Key FactDetail
Service Type

Chemotherapy Drugs

Common Place of Service

None

11 - Office

Complexity LevelModerate
Medicaid Fee ScheduleView Medicaid rates for J9352
Medicare Payment Limit
$391.07BuyandBill.com
WAC Price
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National average reimbursement for HCPCS J9352 by major payers:

bcbs

$379.32

uhc

$388.16

aetna

$395.62

cigna

$384.40

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS J9352.

HCPCS J9352
5 of 25 sample ratesHigher to lower in this preview
  1. Lisa Madden

    Berk Street Enterprises LLC / Hayward Sisters Hospital / Hisham Soliman Md Inc

    TXPediatric Hematology & Oncology PhysicianNPI 1861526048Tax ID 68-0334324

    $707.23Published rate
  2. Sunnyview Hospital And Rehabilitation Center, Sunnyview Rehabilitation Hospital

    Sunnyview Hospital And Rehabilitation Center

    NYGeneral Acute Care HospitalNPI 1578664470Tax ID 14-1338386

    $486.08Published rate
  3. Ghadir Sasa

    Cardiology Clinic Of San Antonio PLLC / Childrens Critical Care Specialists PLLC / Edward E Horvath Do PA

    TXPediatric Hematology & Oncology PhysicianNPI 1386952950Tax ID 26-2400924

    $362.75Published rate
  4. Sarra Musa

    Eastmoreland Internal Medicine Mpllc / Pennmarc Internal Medicine PC / Primary Care Group LLC

    TXRheumatology PhysicianNPI 1730474222Tax ID 27-3186375

    $362.75Published rate
  5. Newark Beth Israel Medical Center Inc, Newark Beth Israel Medical Center

    NJGeneral Acute Care HospitalNPI 1215027966Tax ID 22-3680349

    $326.54Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS J9352 vs. Other Chemotherapy Drugs Codes

The HCPCS J9352 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 J9352 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.

CodeComplexityDescription
J9351-HCPCSLowInjection, topotecan, 0.1 mg
J9352-HCPCSModerateInjection, trabectedin, 0.1 mg
J9353-HCPCSLowInjection, margetuximab-cmkb, 5 mg

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J9352. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J9352 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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