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See a sample rate comparisonHCPCS J0780 (Prochlorperazine Edisylate) Fee Schedule
Last Verified: September 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, prochlorperazine, up to 10 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 20 - Urgent Care Facility |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J0780 |
| Medicare Payment Limit | $1.809  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00641-6135-25 - PROCHLORPERAZINE EDISYLATE 5 MG/1 ML • 00713-0351-09 - PROCHLORPERAZINE EDISYLATE (MDV) 5 MG/1 ML • 00713-0351-25 - PROCHLORPERAZINE EDISYLATE (MDV) 5 MG/1 ML • 14789-0700-02 - PROCHLORPERAZINE EDISYLATE 5 MG/1 ML • 23155-0294-41 - PROCHLORPERAZINE EDISYLATE 5 MG/1 ML |
National average reimbursement for HCPCS J0780 by major payers:
$3.86
$4.21
$4.53
$4.02
Compare published rates across providers.
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HCPCS J0780
5 of 25 sample ratesHigher to lower in this preview
Variety Children'S Hospital, Nicklaus Children'S Hospital
Variety Childrens Hospital
$40.00Published rateOksana Yaskiv
North Shore-Lij Medical PC
$4.42Published rateRockcastle County Hospital Inc, Rockcastle Regional Hospital And Respiratory Care Center
Rockcastle County Hospital Inc
$3.88Published rateSt Vincent Infirmary Medical Center, St Vincent Health Systems
St Vincent Infirmary Medical Center
$3.66Published rateBeavercreek Medical Center, Soin Medical Center
Beavercreek Medical Center
$2.55Published rate
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See a sample payer proposalHCPCS J0780 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0780 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 J0780 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 |
|---|---|---|
| 00641-6135-25-NDC | Moderate | PROCHLORPERAZINE EDISYLATE 5 MG/1 ML |
| 00713-0351-09-NDC | Moderate | PROCHLORPERAZINE EDISYLATE (MDV) 5 MG/1 ML |
| 00713-0351-25-NDC | Moderate | PROCHLORPERAZINE EDISYLATE (MDV) 5 MG/1 ML |
| J0780-HCPCS | Low | Injection, prochlorperazine, up to 10 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0780. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0780 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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