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See a sample rate comparisonHCPCS J0595 (Butorphanol Tartrate) Fee Schedule
Medicare rates as of October 2026
HCPCS J0595 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
Injection, butorphanol tartrate, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Complexity Level | Low |
| Medicare Fee Schedule | $11.32 per 1 mg (October 2026 ASP) · View Medicare rates for J0595 |
| Medicaid Fee Schedule | $8.305 median of the 8 states in the free preview · View Medicaid rates for J0595 |
| Medicare Payment Limit | $6.432  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00409-1623-01 - BUTORPHANOL TARTRATE (10X1ML) 1 MG/ML • 00409-1623-49 - BUTORPHANOL TARTRATE NOVATION (10X1ML) 1 MG/ML • 00409-1626-01 - BUTORPHANOL TARTRATE (10X1ML) 2 MG/ML • 00409-1626-02 - BUTORPHANOL TARTRATE (10X2ML) 2 MG/ML • 00409-1626-49 - NOVAPLUS BUTORPHANOL TARTRATE (VHA,10X1ML) 2 MG/ML |
National average reimbursement for HCPCS J0595 by major payers:
$4.10
BCBS / Anthem
$4.11
UnitedHealthcare
$4.59
Aetna
$4.36
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J0595.
HCPCS J0595
5 of 25 sample ratesHigher to lower in this preview
Grand Itasca Clinic And Hospital
$10.30Published rateAmmar Nasser-Eddin
New York City Health And Hospitals Corporation
$6.01Published rateAdrielle El-Dyson Otoo
New York City Health And Hospitals Corporation
$4.44Published rateChickasaw Nation Division Of Health Chickasaw Nation Medical Center, Chickasaw Nation Medical Center
$4.05Published rateLsumc University Medical Center
Lsu Health Sciences Center - Shreveport Faculty Group Practice
$3.13Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J0595 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J0595. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 00409-1623-01-NDC | Moderate | BUTORPHANOL TARTRATE (10X1ML) 1 MG/ML |
| 00409-1623-49-NDC | Moderate | BUTORPHANOL TARTRATE NOVATION (10X1ML) 1 MG/ML |
| 00409-1626-01-NDC | Moderate | BUTORPHANOL TARTRATE (10X1ML) 2 MG/ML |
| J0595-HCPCS | Low | Injection, butorphanol tartrate, 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 J0595. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0595 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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