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See a sample rate comparisonHCPCS J1410 (Premarin) 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, estrogen conjugated, per 25 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None 50 - Federally Qualified Health Center |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for J1410 |
| Medicare Payment Limit | $392.063  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00046-0749-05 - PREMARIN INTRAVENOUS (W/SECULE VIAL) 25 MG |
National average reimbursement for HCPCS J1410 by major payers:
$367.71
$388.63
$404.67
$401.99
Compare published rates across providers.
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HCPCS J1410
5 of 25 sample ratesHigher to lower in this preview
St Francis Regional Medical Center, St. Francis Regional Medical Center
St Francis Regional Medical Center
$878.35Published ratePascack Valley Hospital
$524.72Published rateCarondelet Health Network, St. Mary'S Hospital
Ascension Arizona
$384.02Published rateBlanchard Valley Regional Health Center, Blanchard Valley Hospital
Blanchard Valley Regional Health Center
$382.91Published rateMathew Negari
New York City Health And Hospitals Corporation
$300.20Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J1410 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1410 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 J1410 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 |
|---|---|---|
| 00046-0749-05-NDC | Moderate | PREMARIN INTRAVENOUS (W/SECULE VIAL) 25 MG |
| J1380-HCPCS | Low | Injection, estradiol valerate, up to 10 mg |
| J1410-HCPCS | Moderate | Injection, estrogen conjugated, per 25 mg |
| J1411-HCPCS | High | Injection, etranacogene dezaparvovec-drlb, per therapeutic dose |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1410. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1410 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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