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See a sample rate comparisonHCPCS J0121 (Nuzyra) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, omadacycline, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office 99 - Other POS None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J0121 |
| Medicare Payment Limit | $4.02  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 71715-0001-01 - NUZYRA (LYOPHILIZED) 100 MG • 71715-0001-02 - NUZYRA (LYOPHILIZED) 100 MG |
National average reimbursement for HCPCS J0121 by major payers:
$4.09
$3.93
$4.17
$4.08
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HCPCS J0121
5 of 25 sample ratesHigher to lower in this preview
Parisa Ibrahim
Bhs Physicians Network, Inc
$7.17Published rateHealth Imaging Partners, LLC
$3.92Published rateUt Physicians Specialty Services
U T Physicians
$3.66Published rateAcademic Allergy Asthma & Immunology Associates
Academic Allergy Asthma Immunology Associates
$3.62Published rateAndrew Walters
Austin Regional Clinic PA
$3.60Published rate
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See a sample payer proposalHCPCS J0121 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0121 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J0121 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 71715-0001-01-NDC | Moderate | NUZYRA (LYOPHILIZED) 100 MG |
| 71715-0001-02-NDC | Moderate | NUZYRA (LYOPHILIZED) 100 MG |
| J0120-HCPCS | Low | Injection, tetracycline, up to 250 mg |
| J0121-HCPCS | Low | Injection, omadacycline, 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0121. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0121 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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