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See a sample rate comparisonHCPCS J0885 (Epogen) Fee Schedule
Medicare rates as of October 2026
HCPCS J0885 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
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 | 11 - Office |
| Complexity Level | Low |
| Medicare Fee Schedule | $6.67 per 1000 units (October 2026 ASP) · View Medicare rates for J0885 |
| Medicaid Fee Schedule | $7.495 median of the 8 states in the free preview · 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
BCBS / Anthem
$8.86
UnitedHealthcare
$9.38
Aetna
$8.31
Cigna
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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Payer Contract Negotiation
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See a sample payer proposalHCPCS J0885 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J0885. Select one to see its fee schedule.
| 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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