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See a sample rate comparisonHCPCS J0888 (Mircera) Fee Schedule
Last Verified: October 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 beta, 1 microgram, (for 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 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J0888 |
| Medicare Payment Limit | $1.465  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J0888 by major payers:
$1.31
$1.34
$1.43
$1.27
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HCPCS J0888
5 of 25 sample ratesHigher to lower in this preview
Cabell Huntington Hospital Inc
$3.46Published rateIlana Jerud
$1.34Published rateKaleida Health, Kaleida Health - Millard Suburban
Kaleida Health
$1.21Published rateCentral Iowa Hospital Corporation, Unitypoint Health - Des Moines Iowa Methodist Medical Center
Central Iowa Hospital Corporation
$1.15Published rateBronxcare Health System
$0.62Published rate
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See a sample payer proposalHCPCS J0888 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0888 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 J0888 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 |
|---|---|---|
| J0887-HCPCS | Low | Injection, epoetin beta, 1 microgram, (for ESRD on dialysis) |
| J0888-HCPCS | Low | Injection, epoetin beta, 1 microgram, (for Non ESRD use) |
| J0890-HCPCS | Low | Injection, peginesatide, 0.1 mg (for ESRD on dialysis) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0888. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0888 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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