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HCPCS J0736 (Cleocin) 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, clindamycin phosphate, 300 mg
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Drugs, Administered by Injection

Common Place of Service

None

20 - Urgent Care Facility

11 - Office

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for J0736
Medicare Payment Limit
$1.828BuyandBill.com
WAC Price
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Related NDC Codes

• 00009-0728-09 - CLEOCIN PHOSPHATE (5X60ML) 150 MG/1 ML

• 00009-0775-26 - CLEOCIN PHOSPHATE (25X4ML) 150 MG/1 ML

• 00009-0870-26 - CLEOCIN PHOSPHATE (25X2ML) 150 MG/1 ML

• 00009-0902-18 - CLEOCIN PHOSPHATE 150 MG/1 ML

• 00009-3051-02 - CLEOCIN PHOSPHATE NOVAPLUS (USP, SDV) 150 MG/1 ML


National average reimbursement for HCPCS J0736 by major payers:

bcbs

$1.82

uhc

$2.53

aetna

$2.68

cigna

$2.58

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS J0736.

HCPCS J0736
5 of 25 sample ratesHigher to lower in this preview
  1. Virtua Willingboro Hospital Inc, Virtua Health & Wellness Center

    Virtua Willingboro Hospital Inc

    NJGeneral Acute Care HospitalNPI 1053316844Tax ID 22-3612265

    $3.94Published rate
  2. Mvhs Inc, Mohawk Valley Health System Inc

    Faxton-St Lukes Healthcare

    NYGeneral Acute Care HospitalNPI 1649350380Tax ID 16-1576637

    $2.61Published rate
  3. St Lukes Hospital Of Kansas City, Saint Luke'S Hospital Of Kansas City

    St Lukes Hospital Of Kansas City

    MOGeneral Acute Care HospitalNPI 1063494177Tax ID 44-0545297

    $2.47Published rate
  4. Steward St. Annes Hospital Corporation

    MAGeneral Acute Care HospitalNPI 1932411493Tax ID 27-2473637

    $2.25Published rate
  5. Grady Memorial Hospital Corporation, Grady Health Systems

    Grady Memorial Hospital Corporation

    GAGeneral Acute Care HospitalNPI 1992799050Tax ID 26-2037695

    $2.09Published rate

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

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HCPCS J0736 vs. Other Drugs, Administered by Injection Codes

The HCPCS J0736 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 J0736 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
00009-0728-09-NDCModerateCLEOCIN PHOSPHATE (5X60ML) 150 MG/1 ML
00009-0775-26-NDCModerateCLEOCIN PHOSPHATE (25X4ML) 150 MG/1 ML
00009-0870-26-NDCModerateCLEOCIN PHOSPHATE (25X2ML) 150 MG/1 ML
J0736-HCPCSLowInjection, clindamycin phosphate, 300 mg

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0736. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J0736 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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