HCPCS code J9052: Carmustine injection, per 100 mg2026 Medicare rate & RVUs in Utah

CMS doesn’t publish a rate for J9052 in Utah.

Check a contract rate as a % of Medicare · J9052 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 J9052 covers

J9052 identifies Accord carmustine injection, an intravenous antineoplastic drug used in treatment of cancers including brain tumors and lymphomas. Oncology practices and hospital outpatient departments may report it when this specific carmustine product is administered as part of a treatment regimen. Select the code for the product actually furnished; J9052 is identified as not therapeutically equivalent to J9050, so the two product codes are not interchangeable simply because both contain carmustine.

CMS excludes J9052 from the physician fee schedule under status E. When Medicare covers the drug, it is treated as a Part B drug and generally priced through CMS quarterly Average Sales Price files; special Medicare coverage instructions apply. One HCPCS unit represents 100 mg, so report units based on the amount administered. The drug code identifies the medication, while the chemotherapy administration service is reported separately when applicable.

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 Utah compares for J9052

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J9052 rates by state

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

See J9052 in every payment locality

How the J9052 rate is calculated

Each of J9052’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 J9052

J9052 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 J9052

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

How J9052 has changed in Utah

Price J9052 for an earlier date of service

Where the Utah rate applies

Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.

• Alpine
• Alta
• Altamont
• Alton
• Amalga
• American Fork
• Aneth
• Annabella

Browse all communities in Utah

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