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See a sample rate comparisonHCPCS J0881 (Aranesp) 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, darbepoetin alfa, 1 microgram (non-ESRD use)
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J0881 |
| Medicare Payment Limit | $2.926  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 55513-0002-01 - ARANESP (PF) 0.025 MG/ML • 55513-0002-04 - ARANESP (4X1ML,PF) 0.025 MG/ML • 55513-0003-01 - ARANESP (PF) 0.04 MG/ML • 55513-0003-04 - ARANESP (1MLX4,PF) 0.04 MG/ML • 55513-0004-01 - ARANESP (PF) 0.06 MG/ML |
National average reimbursement for HCPCS J0881 by major payers:
$3.38
$3.64
$3.78
$3.29
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HCPCS J0881
5 of 25 sample ratesHigher to lower in this preview
Ronald Felipe
Aria Health Physician Services
$4.01Published rateGnana Sunderam
Eoh Acquisition Group LLC
$3.30Published rateIpsit Pandya
$3.30Published rateSirisha Repudi
Capital Health Multispecialty Group
$2.75Published rateAmeet Doshi
Premier Care Associates Of West Hudson
$2.45Published rate
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See a sample payer proposalHCPCS J0881 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0881 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 J0881 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 |
|---|---|---|
| 55513-0002-01-NDC | Moderate | ARANESP (PF) 0.025 MG/ML |
| 55513-0002-04-NDC | Moderate | ARANESP (4X1ML,PF) 0.025 MG/ML |
| 55513-0003-01-NDC | Moderate | ARANESP (PF) 0.04 MG/ML |
| J0881-HCPCS | Low | Injection, darbepoetin alfa, 1 microgram (non-ESRD use) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0881. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0881 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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