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See a sample rate comparisonHCPCS J1370 (Esomeprazole Sodium) Fee Schedule
HCPCS J1370 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
Injection, esomeprazole sodium, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Complexity Level | Low |
| Medicaid Fee Schedule | $0.21 median of the 7 states in the free preview · View Medicaid rates for J1370 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J1370 by major payers:
$0.56
BCBS / Anthem
$0.24
UnitedHealthcare
$1.20
Aetna
$0.20
Cigna
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HCPCS J1370
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J1370 vs. Other Drugs, Administered by Injection Codes
| Code | Complexity | Description |
|---|---|---|
| J1370-HCPCS | Low | Injection, esomeprazole sodium, 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 J1370. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1370 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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