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See a sample rate comparisonHCPCS J1050 (Depo Provera) 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, medroxyprogesterone acetate, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None 71 - Public Health Clinic |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1050 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00548-5400-00 - MEDROXYPROGESTERONE ACETATE 150 MG/1 ML • 00548-5400-25 - MEDROXYPROGESTERONE ACETATE 150 MG/1 ML • 00548-5701-00 - MEDROXYPROGESTERONE ACETATE (PRE-FILLED SYRINGE) 150 MG/1 ML • 16714-0028-01 - MEDROXYPROGESTERONE ACETATE (1X1ML;SDV,USP) 150 MG/1 ML • 16714-0028-25 - MEDROXYPROGESTERONE ACETATE (25X1ML;SDV,USP) 150 MG/1 ML |
National average reimbursement for HCPCS J1050 by major payers:
$2.99
$0.52
$0.65
$0.57
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HCPCS J1050
5 of 25 sample ratesHigher to lower in this preview
Sheila Ramgopal
UPMC
$0.82Published rateSue Moreni
Association Of University Physicians
$0.60Published rateSamuel Lederman
Palm Beach Obstetrics & Gynecology, P.A.
$0.52Published rateRosabelle Campos
Florida Woman Care, LLC
$0.51Published rateJohn Grammer
Sacred Heart Health System Inc
$0.49Published rate
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See a sample payer proposalHCPCS J1050 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1050 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 J1050 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 |
|---|---|---|
| 00548-5400-00-NDC | Moderate | MEDROXYPROGESTERONE ACETATE 150 MG/1 ML |
| 00548-5400-25-NDC | Moderate | MEDROXYPROGESTERONE ACETATE 150 MG/1 ML |
| 00548-5701-00-NDC | Moderate | MEDROXYPROGESTERONE ACETATE (PRE-FILLED SYRINGE) 150 MG/1 ML |
| J1050-HCPCS | Low | Injection, medroxyprogesterone acetate, 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1050. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1050 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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