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HCPCS J0666 (Exparel) 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, bupivacaine liposome, 1 mg
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Drugs, Administered by Injection

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for J0666
Medicare Payment Limit
$1.47BuyandBill.com
WAC Price
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National average reimbursement for HCPCS J0666 by major payers:

bcbs

$1.41

uhc

$1.72

aetna

$4.11

cigna

$1.53

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS J0666.

HCPCS J0666
5 of 25 sample ratesHigher to lower in this preview
  1. Ucsf Medical Center, Ucsf Hospital And Clinics

    CAGeneral Acute Care HospitalNPI 1053631788Tax ID 94-3281660

    $3.08Published rate
  2. Oswego Hospital

    NYGeneral Acute Care HospitalNPI 1871678458Tax ID 15-0532220

    $1.70Published rate
  3. Parkview Hospital, Inc., Parkview Regional Medical Center

    Park Center Inc

    INGeneral Acute Care HospitalNPI 1366407603Tax ID 35-1135451

    $1.45Published rate
  4. Omaha Vamc, Grand Island Vamc

    NEGeneral Acute Care HospitalNPI 1518912278Tax ID 47-0376487

    $1.45Published rate
  5. Dimitry Hikin

    NYGeneral Acute Care HospitalNPI 1457619017Tax ID 65-1166987

    $1.45Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS J0666 vs. Other Drugs, Administered by Injection Codes

The HCPCS J0666 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 J0666 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
J0666-HCPCSLowInjection, bupivacaine liposome, 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 J0666. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J0666 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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