HCPCS code J9191: Avyxa fluorouracil, per 10 mg2026 Medicare rate & RVUs in Washington, DC area

CMS doesn’t publish a rate for J9191 in Washington, DC area.

Check a contract rate as a % of Medicare · J9191 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 J9191 covers

J9191 identifies injectable fluorouracil supplied as Avyxa, an antimetabolite used in cancer treatment. Oncology clinicians in practices and hospital outpatient infusion departments administer it intravenously by injection or infusion as part of a prescribed chemotherapy regimen. The code is product-specific: choose it when the administered product is Avyxa rather than another fluorouracil product represented by a neighboring entry.

CMS assigns status E, excluding J9191 from the physician fee schedule. When Medicare covers the drug, payment is under another method; HCPCS identifies it as a Part B drug generally priced using CMS quarterly ASP drug pricing files. Coverage is left to the Medicare contractor's judgment. One unit represents 10 mg, so divide the documented administered dose in milligrams by 10 to calculate units.

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 Washington, DC area compares for J9191

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J9191 rates by state

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

See J9191 in every payment locality

How the J9191 rate is calculated

Each of J9191’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 J9191

J9191 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 J9191

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

How J9191 has changed in Washington, DC area

Price J9191 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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

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