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HCPCS J0650 (Levothyroxine Sodium) Fee Schedule

Last Verified: July 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, levothyroxine sodium, not otherwise specified, 10 mcg
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Drugs, Administered by Injection

Complexity LevelLow
Medicare Payment Limit
$6.872BuyandBill.com
WAC Price
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National average reimbursement for HCPCS J0650 by major payers:

bcbs

$6.29

uhc

$7.27

aetna

$11.62

cigna

$7.00

Preview provider-level rates for...
For billing codeHCPCS J0650
PayerCodeRateNPITax IDStateSpecialty
United
J0650$5.381407887003 - SELF REGIONAL HEALTHCARE, SRH - OUTPATIENT SERVICES570331865 - (SC) SELF REGIONAL HEALTHCARESCGeneral Acute Care Hospital (282N00000X)
United
J0650$10.981043260482 - SAINT FRANCIS MEDICAL CENTER, OSF SAINT FRANCIS MEDICAL CENTER383852646 - OSF MULTI-SPECIALTY GROUPILGeneral Acute Care Hospital (282N00000X)
United
J0650$12.311942294939 - ST JOSEPH REGIONAL HEALTH CENTER, ST JOSEPH AMBULATORY SURGERY741282696 - ST JOSEPH REGIONAL HEALTH CENTERTXGeneral Acute Care Hospital (282N00000X)
United
J0650$5.381255376828 - THE BIBB COUNTY HEALTHCARE AUTHORITY, BIBB MEDICAL CENTER636005283ALGeneral Acute Care Hospital (282N00000X)
United
J0650$5.381245216183 - MCCULLOUGH-HYDE MEMORIAL HOSPITAL, INC.310650283 - (OH) MCCULLOUGH-HYDE MEMORIAL HOSPITAL INCORPORATEDOHGeneral Acute Care Hospital (282N00000X)
United
J0650$10.881851336044 - ST. JOSEPHS COMMUNITY HOSPITAL OF WEST BEND INC., FROEDTERT WEST BEND HOSPITAL390987025 - (WI) COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INCWIGeneral Acute Care Hospital (282N00000X)
United
J0650$5.381710931985 - JEFFERSON HOSPITAL ASSOCIATION INC, JEFFERSON REGIONAL MEDICAL CENTER710329353 - (AR) JEFFERSON HOSPITAL ASSN INCARGeneral Acute Care Hospital (282N00000X)
United
J0650$10.881609088277 - SINAI HOSPITAL OF BALTIMORE, SINAI BEHAVIORAL PEDIATRIC ASSOC.520486540 - SINAI HOSPITAL OF BALTIMORE INCMDGeneral Acute Care Hospital (282N00000X)
United
J0650$5.381619964806 - DAVIS MEMORIAL HOSPITAL, DAVIS MEDICAL CENTER550375433 - DAVIS MEMORIAL HOSPITALWVGeneral Acute Care Hospital (282N00000X)
United
J0650$19.171447678768 - EUGENE OSWALD134010372 - (NY) MSKCC SURGERY GROUPNJGeneral Acute Care Hospital (282N00000X)
United
J0650$10.881528336997 - PROVIDENCE HOSPITAL521275587 - PROVIDENCE HEALTH SERVICES INCDCGeneral Acute Care Hospital (282N00000X)
United
J0650$11.471407219181 - SARAH ALLEN223376459 - HACKENSACK MERIDIAN HEALTH MEDICAL GROUP-SPECIALTY CARE PCCAGeneral Acute Care Hospital (282N00000X)
United
J0650$10.881568453389 - ATTENTUS MOULTON, LLC, LAWRENCE MEDICAL CENTER721589022ALGeneral Acute Care Hospital (282N00000X)
United
J0650$15.361144249657 - DUBOIS REGIONAL MEDICAL CENTER, PENN HIGHLANDS DUBOIS251490707 - DUBOIS REGIONAL MEDICAL CENTERPAGeneral Acute Care Hospital (282N00000X)
United
J0650$10.881790868982 - MERCY HEALTH YOUNGSTOWN LLC, ST ELIZABETH BOARDMAN HOSPITAL851040784OHGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS J0650 vs. Other Drugs, Administered by Injection Codes

The HCPCS J0650 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 J0650 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.

CodeComplexityDescription
J0650-HCPCSLowInjection, levothyroxine sodium, not otherwise specified, 10 mcg

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J0650 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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