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See a sample rate comparisonHCPCS J0593 (Takhzyro) 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, lanadelumab-flyo, 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered)
| 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 J0593 |
| Medicare Payment Limit | $87.284  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 47783-0644-01 - TAKHZYRO (PF) 150 MG/1 ML • 47783-0645-01 - TAKHZYRO (PEDIATRIC) (PF) 150 MG/1 ML • 47783-0646-01 - TAKHZYRO (PF) 150 MG/1 ML |
National average reimbursement for HCPCS J0593 by major payers:
$87.60
$89.73
$90.32
$86.03
Compare published rates across providers.
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HCPCS J0593
5 of 25 sample ratesHigher to lower in this preview
Alameda Health System
Sutter Bay Hospitals
$231.10Published rateSt. Cloud Hospital
St Cloud Hospital
$118.26Published rateFirelands Regional Medical Center
$87.83Published rateSouthern New Hampshire Medical Center
$87.83Published rateGulf Health Hospitals, Inc, Thomas Hospital
Gulf Health Hospitals Inc
$83.70Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J0593 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0593 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 J0593 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 |
|---|---|---|
| 47783-0644-01-NDC | Moderate | TAKHZYRO (PF) 150 MG/1 ML |
| 47783-0645-01-NDC | Moderate | TAKHZYRO (PEDIATRIC) (PF) 150 MG/1 ML |
| 47783-0646-01-NDC | Moderate | TAKHZYRO (PF) 150 MG/1 ML |
| J0593-HCPCS | Low | Injection, lanadelumab-flyo, 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician, not for use when drug is self-administered) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0593. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0593 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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