How much does Medicare pay for HCPCS J9035?

Medicare allowed an average of $69.31 per service and paid $53.27 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $160.41, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code J9035?

Injection, bevacizumab, 10 mg. It was billed 381,211 times to 97,318 Medicare beneficiaries by 1,746 providers in 2024.

Does J9035 pay differently in an office than a hospital?

Yes. The allowed amount averaged $69.30 in an office setting and $72.01 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills J9035 most?

Ophthalmology, with 344,542 services from 1,724 clinicians. Next are Gynecological Oncology, Hematology-Oncology, Ambulatory Surgical Center.

HCPCS J9035

Injection, bevacizumab, 10 mg

$69.31Medicare-allowed amount per service, averaged across 381,211 services

Providers submitted

$160.41

Asking price, not received

Medicare allowed

$69.31

The fee schedule figure

Medicare paid

$53.27

Balance is patient coinsurance

Providers submitted an average of $160.41 for this code and Medicare allowed $69.31 — 2.3× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $53.27 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $69.30
Hospital / facility: $72.01

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 378,789 services were billed in an office setting and 2,422 in a facility.

Services: 381,211
Beneficiaries: 97,318
Providers billing it: 1,746
Total allowed: $26,421,734

What Medicare pays for HCPCS J9035

Across 381,211 services billed by 1,746 providers to 97,318 beneficiaries, Medicare allowed an average of $69.31 per service. That is 3.9 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

This is a drug or supply code rather than a service. The unit is usually a dose or a milligram, so the per-service figure is small by construction and the total is what carries meaning — read it alongside the service count rather than on its own.

Who bills J9035

Specialty	Services	Beneficiaries	Avg allowed	Providers
Ophthalmology	344,542	96,305	$71.24	1,724
Gynecological Oncology	18,063	37	$72.38	3
Hematology-Oncology	14,808	65	$20.11	5
Ambulatory Surgical Center	2,277	529	$72.07	8
Nurse Practitioner	1,146	257	$72.19	1
Physician Assistant	256	94	$71.92	3
Neurology	85	17	$72.39	1
Gastroenterology	34	14	$70.24	1

J9035 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	34,988	$49.99	$39.27	140
Illinois	32,542	$71.69	$55.39	112
New York	30,552	$69.30	$54.12	189
North Carolina	17,372	$71.45	$54.38	89
Massachusetts	16,931	$71.40	$55.13	77
Wisconsin	16,572	$70.64	$54.05	74
Alabama	15,750	$71.60	$55.22	38
Virginia	15,029	$71.50	$56.04	49
Texas	13,787	$71.28	$55.21	126
New Jersey	13,121	$71.57	$56.00	53
Tennessee	12,955	$71.44	$54.89	71
Florida	11,574	$71.93	$56.93	32
South Carolina	10,857	$69.78	$54.14	41
Maryland	10,748	$71.47	$56.12	43
Missouri	10,739	$72.08	$55.81	36
Nevada	10,182	$72.11	$56.84	22
Georgia	10,149	$71.54	$54.91	61
Minnesota	9,505	$71.65	$55.66	42
Indiana	8,878	$71.06	$54.83	38
Oklahoma	8,266	$71.54	$55.12	26
Michigan	6,488	$71.18	$55.03	33
Pennsylvania	6,087	$71.64	$55.31	45
Arizona	5,741	$71.63	$55.83	16
Louisiana	5,588	$71.57	$55.52	34
Washington	4,942	$71.28	$53.98	27
Connecticut	4,322	$71.15	$55.70	26
Utah	4,014	$71.95	$54.98	13
Arkansas	3,775	$71.52	$55.88	10
Mississippi	3,083	$70.84	$55.83	14
Colorado	2,998	$72.03	$54.26	20
Oregon	2,410	$71.78	$55.12	10
Rhode Island	2,102	$71.65	$55.50	14
Kansas	2,079	$70.96	$54.35	15
Iowa	1,897	$71.62	$54.19	10
Montana	1,786	$71.99	$55.81	7
Maine	1,675	$72.14	$54.20	11
Delaware	1,611	$71.72	$55.94	6
Idaho	1,275	$71.30	$53.78	11
Vermont	1,220	$72.23	$54.70	4
West Virginia	1,181	$71.54	$55.76	8
New Hampshire	1,082	$71.83	$53.99	9
North Dakota	909	$71.32	$55.79	8
Ohio	847	$71.73	$55.78	8
AE	766	$71.17	$55.28	1
Wyoming	679	$72.11	$57.08	2
District of Columbia	530	$71.33	$56.49	4
South Dakota	429	$72.16	$54.53	4
Nebraska	380	$68.74	$54.88	7
Alaska	360	$71.64	$55.63	2
Puerto Rico	235	$72.29	$56.73	1
New Mexico	179	$72.04	$54.05	5
Northern Mariana Islands	29	$71.47	$54.54	1
Kentucky	16	$71.50	$56.97	1

Related codes

J9025Injection, azacitidine, 1 mg$0.37
J9030Bcg live intravesical instillation$2.85
J9041Injection, bortezomib, 0.1 mg$1.80
J9045Injection, carboplatin, 50 mg$3.52
J9047Injection, carfilzomib, 1 mg$47.63
J9022Injection, atezolizumab, 10 mg$83.41
J9073Injection, cyclophosphamide (ingenus), 5 mg$0.89
J9075Injection, cyclophosphamide, not otherwise specified, 5 mg$0.99
J9060Injection, cisplatin, powder or solution, 10 mg$3.28
J9000Injection, doxorubicin hydrochloride, 10 mg$3.29

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.