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See a sample rate comparisonHCPCS J0850 (Cytogam) 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, cytomegalovirus immune globulin intravenous (human), per vial
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 99 - Other POS |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for J0850 |
| Medicare Payment Limit | $1808.645  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J0850 by major payers:
$1,767.44
$1,902.23
$1,928.87
$1,912.11
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HCPCS J0850
5 of 25 sample ratesHigher to lower in this preview
Cynthia Liapes
North Shore-Lij Medical PC
$2,141.62Published ratePittsburgh Vamc
$2,032.72Published ratePeacehealth
Peacehealth Southwest Medical Center
$1,814.10Published rateBayhealth Medical Center, Inc., Bayhealth Hospital, Sussex Campus
Bayhealth Medical Center Inc
$1,791.98Published rateMarion General Hospital, Inc.
Ohiohealth Corporation
$18.14Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J0850 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0850 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 J0850 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 |
|---|---|---|
| J0841-HCPCS | Moderate | Injection, crotalidae immune f(ab')2 (equine), 120 mg |
| J0850-HCPCS | High | Injection, cytomegalovirus immune globulin intravenous (human), per vial |
| J0875-HCPCS | Low | Injection, dalbavancin, 5mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0850. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0850 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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