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See a sample rate comparisonHCPCS J0248 (Veklury) 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, remdesivir, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J0248 |
| Medicare Payment Limit | $6.729  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J0248 by major payers:
$6.65
$6.45
$6.84
$6.72
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HCPCS J0248
5 of 25 sample ratesHigher to lower in this preview
Prisma Health-Upstate, Prisma Health Cardiovascular Svcs Simp
Prisma Health - Upstate
$13.64Published rateMilan General Hospital, Inc., West Tennessee Healthcare Milan Hospital
Milan General Hospital Inc
$10.47Published rateUnion Hospital Of Cecil County
$6.34Published rateAugusta Vamc
$6.34Published rateSsm Health Care St. Louis, Ssm Health St. Mary'S Hospital - St. Louis
Ssm Health Care St. Louis
$2.53Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J0248 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0248 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 J0248 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 |
|---|---|---|
| J0225-HCPCS | High | Injection, vutrisiran, 1 mg |
| J0248-HCPCS | Low | Injection, remdesivir, 1 mg |
| J0256-HCPCS | Low | Injection, alpha 1 proteinase inhibitor (human), 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 J0248. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0248 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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