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See a sample rate comparisonHCPCS J0601 (Sevelamer Carbonate) 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.
Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis)
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J0601 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J0601 by major payers:
$0.01
$0.04
$N/A
$0.05
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HCPCS J0601
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$0.28Published rateFe Ann Braxton
Attigo Infusion Inc
$0.01Published rateWhite Plains Hospital Medical Center, White Plains Hospital Emergency Physicians
White Plains Hospital Medical Center
$0.01Published rateBrooke Caldwell
Attigo Infusion Inc
$0.01Published rateSt Francis Regional Medical Center, St. Francis Regional Medical Center
St Francis Regional Medical Center
$0.01Published rate
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See a sample payer proposalHCPCS J0601 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0601 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 J0601 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 |
|---|---|---|
| J0601-HCPCS | Low | Sevelamer carbonate (renvela or therapeutically equivalent), oral, 20 mg (for esrd on dialysis) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0601. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0601 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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