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See a sample rate comparisonHCPCS J0898 (Argatroban) 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, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 20 - Urgent Care Facility 23 - Emergency Room 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J0898 |
| Medicare Payment Limit | $1.623  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 55150-0241-10 - ARGATROBAN 1 MG/1 ML |
National average reimbursement for HCPCS J0898 by major payers:
$3.18
$4.12
$4.08
$3.50
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HCPCS J0898
5 of 25 sample ratesHigher to lower in this preview
Uc Davis Health System
$9.01Published rateSt Vincent'S Medical Center
Svmc Holdings Inc
$4.09Published rateTexas Spine And Joint Hospital, LLC, Baylor Scott & White Tx Spine & Joint Hos Sur Ctr
Texas Spine And Joint Hospital
$4.01Published rateSt. Charles Health System, Inc., St. Charles Bend
St Charles Health System Inc
$4.01Published ratePalm Beach Gardens Community Hospital, Inc., Palm Beach Gardens Medical Center
$1.38Published rate
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See a sample payer proposalHCPCS J0898 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0898 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 J0898 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 |
|---|---|---|
| 55150-0241-10-NDC | Moderate | ARGATROBAN 1 MG/1 ML |
| J0897-HCPCS | Low | Injection, denosumab, 1 mg |
| J0898-HCPCS | Low | Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use) |
| J0899-HCPCS | Low | Injection, argatroban (auromedics), not therapeutically equivalent to j0884, 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 J0898. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0898 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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