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See a sample rate comparisonHCPCS J0716 (Anascorp) 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, centruroides immune f(ab)2, up to 120 milligrams
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 99 - Other POS |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for J0716 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J0716 by major payers:
$4,850.83
$5,516.29
$5,457.35
$5,041.33
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HCPCS J0716
5 of 25 sample ratesHigher to lower in this preview
Stafford Hospital, LLC, Stafford Hospital
Stafford Hospital LLC
$18,088.75Published rateChristina Lang
Ascension Wisconsin Emerus Menomonee Falls LLC
$7,024.52Published rateSmith Of Georgia, Smith Northview Hospitalists
Smith Of Georgia
$5,403.47Published rateSt. Charles Health System, Inc., St. Charles Bend
St Charles Health System Inc
$5,403.47Published rateNorton Clark Hospital, LLC, Norton Clark Hospital
Clark Memorial Hospital
$4,052.61Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J0716 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0716 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 J0716 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 |
|---|---|---|
| J0716-HCPCS | High | Injection, centruroides immune f(ab)2, up to 120 milligrams |
| J0717-HCPCS | Low | Injection, certolizumab pegol, 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0716. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0716 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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