RxDoctor Payments Data

HCPCS J9299

Injection, nivolumab, 1 mg

$30.47Medicare-allowed amount per service, averaged across 7,881,796 services
Providers submitted
$77.52

Asking price, not received

Medicare allowed
$30.47

The fee schedule figure

Medicare paid
$24.27

Balance is patient coinsurance

Providers submitted an average of $77.52 for this code and Medicare allowed $30.472.5× 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 $24.27 (80%); the rest is the patient’s coinsurance and deductible.

Services
7,881,796

Medicare Part B, 2024

Beneficiaries
7,012
Providers billing it
441
Total allowed
$240,158,324

Services × allowed amount

What Medicare pays for HCPCS J9299

Across 7,881,796 services billed by 441 providers to 7,012 beneficiaries, Medicare allowed an average of $30.47 per service. That is 1124.0 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 J9299

SpecialtyServicesBeneficiariesAvg allowedProviders
Hematology-Oncology5,734,2275,046$30.45313
Medical Oncology1,617,7691,412$30.4791
Internal Medicine260,120296$30.6721
Hematology185,940149$30.808
Nurse Practitioner27,24012$30.911
Gynecological Oncology15,20025$30.942
Hematopoietic Cell Transplantation and Cellular Therapy14,52030$30.332
Physician Assistant13,76023$28.692
Radiation Oncology13,02019$29.831

J9299 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.

StateServicesAllowedStandardized pmtProviders
Florida1,117,387$30.38$24.2565
California768,187$30.22$24.1129
Arkansas647,565$30.78$24.6134
Texas484,381$30.25$24.1934
Maryland464,370$30.05$23.9817
Illinois369,789$30.49$24.4527
Kansas367,600$30.87$24.5914
Virginia336,880$30.55$24.6726
Tennessee318,121$30.39$24.7416
Arizona286,316$30.50$24.6026
Mississippi242,260$30.49$24.718
Nebraska239,922$30.82$24.6113
South Carolina205,700$30.62$24.6313
Pennsylvania192,905$30.59$24.6412
Iowa181,620$30.30$24.507
New York175,901$30.67$24.5111
Missouri151,088$30.74$24.5810
Georgia148,760$30.01$24.437
Alabama118,260$30.70$24.635
Minnesota105,480$30.42$24.2714
Idaho101,940$28.82$22.953
Oklahoma96,480$30.84$24.579
Nevada94,189$30.65$24.576
Ohio88,080$30.71$24.644
North Carolina85,900$30.91$24.628
Utah79,780$30.93$24.622
Indiana68,840$30.86$24.582
South Dakota54,120$30.42$24.311
New Jersey50,300$30.92$24.633
Alaska46,920$30.88$24.603
North Dakota40,320$30.86$24.591
Colorado39,140$30.91$24.622
Michigan31,980$30.94$24.642
Delaware26,940$30.91$24.622
Guam23,870$30.90$24.621
Oregon13,680$31.03$24.711
Washington12,580$27.14$24.822
Wisconsin4,245$28.63$25.111

Related codes

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.