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See a sample rate comparisonHCPCS J1201 (Quzyttir) 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, cetirizine hydrochloride, 0.5 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1201 |
| Medicare Payment Limit | $16.515  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J1201 by major payers:
$15.94
$15.32
$16.61
$15.79
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HCPCS J1201
5 of 25 sample ratesHigher to lower in this preview
Njmhmc, LLC, Hudson Regional Hospital
Njmhmc
$29.84Published rateAhs Hospital Corp., Morristown Medical Center
Atlantic Health System Inc
$18.25Published rateSantiam Memorial Hospital
$15.72Published rateHca Physician Services
Hca Physician Services, Inc.
$14.96Published rateMercy Health-St Ritas Medical Center LLC, Mercy Health-St Rita'S Medical Center
$9.72Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J1201 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1201 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 J1201 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 |
|---|---|---|
| J1200-HCPCS | Low | Injection, diphenhydramine HCl, up to 50 mg |
| J1201-HCPCS | Low | Injection, cetirizine hydrochloride, 0.5 mg |
| J1205-HCPCS | Low | Injection, chlorothiazide sodium, per 500 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1201. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1201 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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