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See a sample rate comparisonHCPCS J0130 (Abciximab) 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 abciximab, 10 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None 20 - Urgent Care Facility 50 - Federally Qualified Health Center 99 - Other POS |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for J0130 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J0130 by major payers:
$658.79
$1,414.52
$1,393.08
$1,503.58
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HCPCS J0130
5 of 25 sample ratesHigher to lower in this preview
Mainehealth, Franklin Memorial Hospital
Memorial Hospital
$2,276.09Published rateCentral Washington Health Services Association, Confluence Health
Central Washington Health Services Association
$1,735.79Published rateWajeeha Saeed
Downtown Bronx Medical Associates PC
$1,471.94Published rateMercer County Joint Township Community Hospital, Mercer Health
$1,388.63Published rateSunggeun Lee
New York City Health And Hospitals Corporation
$917.88Published rate
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See a sample payer proposalHCPCS J0130 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0130 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 J0130 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 |
|---|---|---|
| J0129-HCPCS | Low | Injection, abatacept, 10 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
| J0130-HCPCS | Moderate | Injection abciximab, 10 mg |
| J0131-HCPCS | Low | Injection, acetaminophen, not otherwise specified,10 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0130. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0130 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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