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See a sample rate comparisonHCPCS J0885 (Epogen) 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, epoetin alfa, (for non-ESRD use), 1000 units
| 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 J0885 |
| Medicare Payment Limit | $8.544  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 54868-2523-00 - PROCRIT (S.D.V.) 10000 U/ML • 54868-2523-01 - PROCRIT (S.D.V.) 10000 U/ML • 54868-5673-01 - PROCRIT (M.D.V,1X4ML) 20000 U/ML • 54868-5802-00 - PROCRIT (SDV,1MLX4) 40000 U/ML • 55513-0126-01 - EPOGEN (S.D.V.,S2,PF) 2000 U/ML |
National average reimbursement for HCPCS J0885 by major payers:
$8.28
$8.86
$9.38
$8.31
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J0885.
HCPCS J0885
5 of 25 sample ratesHigher to lower in this preview
Regents Of The University Of California, Regents Ucdmg Elk Grove
$34.77Published rateSoutheast Alaska Regional Health Consortium, Searhc Express Care Clinic-Craig
Southeast Alaska Regional Health Consortium
$9.68Published rateYour Neighborhood Healthcare Center
$8.13Published rateKaiser Foundation Health Plan Of Co, Kaiser Permanente Englewood Medical Offices
Colorado Permanente Medical Group, P.C.
$7.53Published rateAgape Family Wellness
$6.46Published rate
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See a sample payer proposalHCPCS J0885 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0885 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 J0885 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 |
|---|---|---|
| 54868-2523-00-NDC | Moderate | PROCRIT (S.D.V.) 10000 U/ML |
| 54868-2523-01-NDC | Moderate | PROCRIT (S.D.V.) 10000 U/ML |
| 54868-5673-01-NDC | Moderate | PROCRIT (M.D.V,1X4ML) 20000 U/ML |
| J0885-HCPCS | Low | Injection, epoetin alfa, (for non-ESRD use), 1000 units |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0885. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0885 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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