HCPCS code J9289: Nivolumab-hyaluronidase, per 2 mg2026 Medicare rate & RVUs in South Dakota

CMS doesn’t publish a rate for J9289 in South Dakota.

Check a contract rate as a % of Medicare · J9289 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 J9289 covers

J9289 identifies the subcutaneous nivolumab and hyaluronidase-nvhy product marketed as Opdivo Qvantig. Oncology clinicians use it for patients receiving a prescribed subcutaneous nivolumab cancer regimen. A healthcare professional administers the product by subcutaneous injection in an oncology clinic or other treatment setting. The code identifies the drug product and dose, rather than the injection service.

Each billing unit represents 2 mg of nivolumab, so units are calculated from the amount administered using that unit size. CMS assigns physician fee schedule status E, excluding the drug from the physician fee schedule; when Medicare covers it, payment is made under another method. CMS identifies it as a Part B drug, generally priced from its quarterly Average Sales Price files when covered. The Medicare contractor determines coverage.

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 South Dakota compares for J9289

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J9289 rates by state

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

See J9289 in every payment locality

How the J9289 rate is calculated

Each of J9289’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 J9289

J9289 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 J9289

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

How J9289 has changed in South Dakota

Price J9289 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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