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See a sample rate comparisonHCPCS J1190 (Dexrazoxane) 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, dexrazoxane hydrochloride, per 250 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 22 - On Campus Outpatient Hospital |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1190 |
| Medicare Payment Limit | $63.06  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00143-9247-01 - DEXRAZOXANE (SDV W/DILUENT) 250 MG • 00143-9248-01 - DEXRAZOXANE (SDV W/ DILUENT) 500 MG • 55150-0434-01 - DEXRAZOXANE (SDV;W/DILUENT,PF) 250 MG • 55150-0434-02 - DEXRAZOXANE NOVAPLUS (SDV;W/DILUENT,PF) 250 MG • 72205-0247-01 - DEXRAZOXANE SDV,LYOPHILIZED 250 MG |
National average reimbursement for HCPCS J1190 by major payers:
$94.96
$104.43
$120.54
$100.22
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HCPCS J1190
5 of 25 sample ratesHigher to lower in this preview
Jessica Hayward
$488.50Published rateGeneva General Hospital Inc.
Geneva General Hospital
$108.37Published rateKaleida Health, Buffalo General Hospital
Kaleida Health
$92.73Published rateSamaritan Medical Center
$87.48Published rateNadezhda Ibragimova
New York City Health And Hospitals Corporation
$57.83Published rate
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See a sample payer proposalHCPCS J1190 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1190 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 J1190 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 |
|---|---|---|
| 00143-9247-01-NDC | Moderate | DEXRAZOXANE (SDV W/DILUENT) 250 MG |
| 00143-9248-01-NDC | Moderate | DEXRAZOXANE (SDV W/ DILUENT) 500 MG |
| 55150-0434-01-NDC | Moderate | DEXRAZOXANE (SDV;W/DILUENT,PF) 250 MG |
| J1190-HCPCS | Low | Injection, dexrazoxane hydrochloride, per 250 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1190. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1190 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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