HCPCS code J1449: Eflapegrastim injection, per 0.1 mg2026 Medicare rate & RVUs in Rhode Island

CMS doesn’t publish a rate for J1449 in Rhode Island.

Check a contract rate as a % of Medicare · J1449 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What J1449 covers

J1449 identifies eflapegrastim-xnst (Rolvedon), a long-acting granulocyte colony-stimulating factor given by subcutaneous injection. Oncology practices use it for adults with nonmyeloid cancers receiving myelosuppressive chemotherapy associated with a clinically significant risk of febrile neutropenia. The drug supports neutrophil recovery and helps reduce febrile neutropenia risk during chemotherapy. It is administered once per chemotherapy cycle.

CMS assigns this code physician fee schedule status E, meaning it is excluded from the physician fee schedule. When Medicare covers the drug, payment is under another method; CMS classifies it as a Part B drug, generally priced using the quarterly Average Sales Price drug files. Coverage is left to the Medicare contractor's judgment. Each billing unit represents 0.1 mg, so a 13.2-mg administration corresponds to 132 units. Document the amount administered.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Rhode Island compares for J1449

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J1449 rates by state

Office rate range in each state. Select a state to see its payment localities.

See J1449 in every payment locality

How the J1449 rate is calculated

Each of J1449’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for J1449

J1449 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to J1449

Related codes aren’t interchangeable: bill the code that matches the service performed.

How J1449 has changed in Rhode Island

Price J1449 for an earlier date of service

Where the Rhode Island rate applies

Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.

• Ashaway
• Bradford
• Carolina
• Central Falls
• Charlestown
• Chepachet
• Clayville
• Cranston

Browse all communities in Rhode Island

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates