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See a sample rate comparisonHCPCS J0687 (Cefazolin) 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, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg
| 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 J0687 |
| Medicare Payment Limit | $0.948  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J0687 by major payers:
$0.89
$1.06
$1.98
$1.03
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HCPCS J0687
5 of 25 sample ratesHigher to lower in this preview
Montefiore New Rochelle Hospital, Montefiore New Rochelle Professional Billing
Montefiore New Rochelle Hospital
$1.75Published rateUniversity Of Maryland Medical Center, LLC, University Of Maryland Medical Center
$1.25Published rateDayton Osteopathic Hospital, Kettering Health Dayton
Dayton Osteopathic Hospital
$1.08Published rateSkaggs Community Hospital Association, Cox Medical Center Branson
Skaggs Community Hospital Association
$1.03Published rateZachary Macdonald
New York City Health And Hospitals Corporation
$0.68Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J0687 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0687 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 J0687 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 |
|---|---|---|
| J0687-HCPCS | Low | Injection, cefazolin sodium (wg critical care), not therapeutically equivalent to j0690, 500 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0687. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0687 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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