HCPCS J9376 (Veopoz) 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 | Moderate |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J9376 by major payers:
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| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | J9376 | $89.13 | 1932553385 - BBH WBMC, LLC, WALKER BAPTIST MEDICAL CENTER | 474790386 | AL | General Acute Care Hospital (282N00000X) |
United | J9376 | $84.26 | 1730210634 - KING'S DAUGHTERS MEDIAL CENTER | 640333594 - KINGS DAUGHTERS MEDICAL CENTER | MS | General Acute Care Hospital (282N00000X) |
United | J9376 | $257.07 | 1295170058 - DAVID GUTTMANN | 300937486 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9376 | $90.91 | 1790997369 - SINAI HOSPITAL OF BALTIMORE, INC, SINAI PULMONARY ASSOCIATES | 520486540 - SINAI HOSPITAL OF BALTIMORE INC | MD | General Acute Care Hospital (282N00000X) |
United | J9376 | $82.90 | 1396733077 - USHA NIRANJAN | 810889110 | NJ | Medical Oncology Physician (207RX0202X) |
United | J9376 | $89.13 | 1508859612 - GONZALES HEALTHCARE SYSTEMS, MEMORIAL HOSPITAL | 741625013 | TX | General Acute Care Hospital (282N00000X) |
United | J9376 | $89.13 | 1801876081 - MICHAEL SCOPPETUOLO | 814786011 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9376 | $89.13 | 1255300141 - RICHARDS AFONJA | 421634032 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9376 | $57.93 | 1497792568 - MERCY HEALTH-ST CHARLES HOSPITAL LLC, ST CHARLES HOSPITAL OF OREGON, OHIO | 344445373 - (OH) MERCY HEALTH-ST CHARLES HOSPITAL LLC | OH | General Acute Care Hospital (282N00000X) |
United | J9376 | $92.73 | 1245324581 - SATURNINO HERRERA | 270444414 - (NJ) GARDEN STATE HEALTHCARE ASSOCIATES, LLC | NJ | General Acute Care Hospital (282N00000X) |
United | J9376 | $86.47 | 1619928017 - WINCHESTER MEDICAL CENTER | 540505979 - VALLEY HEALTH SYSTEM | VA | General Acute Care Hospital (282N00000X) |
United | J9376 | $89.13 | 1417274143 - DAVID MULVIHILL | 223587486 | NJ | Radiation Oncology Physician (2085R0001X) |
United | J9376 | $94.48 | 1407219181 - SARAH ALLEN | 61578286 - DOWNTOWN BRONX MEDICAL ASSOCIATES PC | CA | General Acute Care Hospital (282N00000X) |
United | J9376 | $84.68 | 1659385615 - SCOTT KINDSFATHER | 810889110 | NJ | Hematology & Oncology Physician (207RH0003X) |
United | J9376 | $91.37 | 1871936898 - PAYAL SONI | 20543270 | NJ | 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 J9376 vs. Other Chemotherapy Drugs Codes
The HCPCS J9376 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 J9376 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 |
|---|---|---|
| J9376-HCPCS | Moderate | Injection, pozelimab-bbfg, 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 J9376. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J9376 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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