Home Drug Codes J Codes J9400 · ZALTRAP
Updated July 1st, 2026

ZALTRAP J Code: J9400

Injection, ziv-aflibercept, 1 mg

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Q4 2026 Medicare Payment Limit for J9400, effective October 1, 2026: $9.702 per HCPCS billing unit, up 11.9% from $8.674. From CMS's final file.

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Medicare Payment Limit ?
$8.674
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$8.674
/ HCPCS billing unit · APC 9296
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Drug & Product Overview

HCPCS Descriptor Injection, ziv-aflibercept, 1 mg
HCPCS Added Date January 1, 2014
Manufacturer Sanofi
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Solution, Concentrate

About ZALTRAP

Zaltrap is a medication aligned to the HCPCS J Code: J9400 for billing, pricing, and reimbursement purposes in the United States. It is an Oncology drug administered via the intravenous route and manufactured by Sanofi.

According to CMS Drug Use Information: Ziv-aflibercept is used to treat cancer of the colon and rectum.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
00024-5840-01 Zaltrap sanofi-aventis U.S. LLC 100 100 MG / 4 ML
00024-5841-01 Zaltrap sanofi-aventis U.S. LLC 200 200 MG / 8 ML
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ZALTRAP Pricing & Reimbursement

J9400 Private Payer Reimbursement
$7.68 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

Create an account on PayerPrice for more information →
UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

ZALTRAP Claims Performance

Claims from Jan 2026 – Aug 2026
Claim Denial Rate 24.5%
Avg. Days to File 14.8days
Avg. Days to Pay 26.9days

Real-world claims performance from FocalPoint, OnPoint Oncology's reimbursement analytics platform, with claims data accrued at the clearing house level.

Explore J9400 claims analytics on FocalPoint →
OnPoint Oncology

ZALTRAP CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96413 Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug
96415 Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)
JW / JZ modifiers apply

CMS has identified Zaltrap (J9400) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

ZALTRAP Medically Unlikely Edits (MUE)

The most billing units of J9400 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
500 units / day
= 500 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

ZALTRAP Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Metastatic Colorectal Cancer
Drug Class
Vascular Endothelial Growth Factor Inhibitor [EPC]Vascular Endothelial Growth Factor Inhibitors [MoA]

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Frequently Asked Questions

Is there an available Zaltrap billing and coding guide?
Billing and coding information for ZALTRAP can be found through Sanofi. Visit Here →
Are there any available Zaltrap patient assistance programs?
ZALTRAP patient assistance information can be found through Sanofi. Visit Here →
Where can I find Zaltrap prescribing information?
ZALTRAP prescribing information can be found at the link below: Visit Here →
Where can I find Zaltrap side effect information?
Information regarding ZALTRAP's side effects can be found at MedlinePlus Visit Here →
Does billing ZALTRAP require JZ/JW wastage modifiers?
CMS has identified ZALTRAP(J9400) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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