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See a sample rate comparisonHCPCS J0630 (Miacalcin) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, calcitonin salmon, up to 400 units
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 20 - Urgent Care Facility |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for J0630 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 24201-0400-02 - CALCITONIN-SALMON 200 IU/1 ML • 25021-0473-02 - CALCITONIN-SALMON MDV 200 IU/1 ML • 42023-0205-01 - CALCITONIN-SALMON (MDV;USP) 200 IU/1 ML • 43598-0051-11 - CALCITONIN-SALMON (MDV) 200 IU/1 ML • 63323-0865-02 - CALCITONIN-SALMON MDV 200 IU/1 ML |
National average reimbursement for HCPCS J0630 by major payers:
$1,212.04
$1,302.41
$1,436.08
$1,298.56
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J0630.
HCPCS J0630
5 of 25 sample ratesHigher to lower in this preview
Sutter Bay Hospitals, Sutter Maternity & Surgery Center Of Santa Cruz
Sutter Bay Hospitals
$7,773.56Published rateTiana Grieco
Valley Physician Services PC
$1,173.06Published rateHospital Service District #2 Of Lasalle Parish, Lasalle General Hospital
Hospital Service District 2 Of Lasalle Parish
$1,142.41Published rateSteward Cgh, Inc.
$1,071.96Published rateLifemark Hospitals Of Florida, Inc., Palmetto General Hospital
$35.00Published rate
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See a sample payer proposalHCPCS J0630 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0630 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 J0630 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 |
|---|---|---|
| 24201-0400-02-NDC | Moderate | CALCITONIN-SALMON 200 IU/1 ML |
| 25021-0473-02-NDC | Moderate | CALCITONIN-SALMON MDV 200 IU/1 ML |
| 42023-0205-01-NDC | Moderate | CALCITONIN-SALMON (MDV;USP) 200 IU/1 ML |
| J0630-HCPCS | High | Injection, calcitonin salmon, up to 400 units |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0630. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0630 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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