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HCPCS J0209 (Sodium Thiosulfate) 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, sodium thiosulfate (hope), 100 mg
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Drugs, Administered by Injection

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for J0209
WAC Price
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National average reimbursement for HCPCS J0209 by major payers:

bcbs

$0.73

uhc

$0.95

aetna

$1.95

cigna

$4.32

Compare published rates across providers.

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HCPCS J0209
5 of 25 sample ratesHigher to lower in this preview
  1. St Elizabeths Hospital Of The Hospital Sisters Of The Third Order, Hshs St. Elizabeth'S Hospital

    St Elizabeths Hospital Of The Hospital Sisters Of The Third Orde

    ILGeneral Acute Care HospitalNPI 1629057302Tax ID 37-0663567

    $1.52Published rate
  2. Emad Hanna

    Downtown Bronx Medical Associates PC

    NYGeneral Acute Care HospitalNPI 1679911572Tax ID 61-578286

    $0.99Published rate
  3. Metropolitan Hospital, Metro Health Hospital

    Metropolitan Hospital

    MIGeneral Acute Care HospitalNPI 1619923919Tax ID 38-0593405

    $0.93Published rate
  4. Diana Sabirova

    NYGeneral Acute Care HospitalNPI 1285018648Tax ID 61-603195

    $0.93Published rate
  5. Gonzales Healthcare Systems

    TXGeneral Acute Care HospitalNPI 1699768705Tax ID 74-1625013

    $0.37Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS J0209 vs. Other Drugs, Administered by Injection Codes

The HCPCS J0209 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 J0209 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.

CodeComplexityDescription
J0209-HCPCSLowInjection, sodium thiosulfate (hope), 100 mg

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0209. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J0209 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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