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See a sample rate comparisonHCPCS J1440 (Rebyota) 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.
Fecal microbiota, live - jslm, 1 ml
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1440 |
| Medicare Payment Limit | $63.839  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J1440 by major payers:
$67.56
$64.78
$69.19
$69.15
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HCPCS J1440
5 of 25 sample ratesHigher to lower in this preview
Christina Boyd
Regents Of The University Of California At Irvine
$288.61Published rateZachary Macdonald
New York City Health And Hospitals Corporation
$67.41Published rateChester County Hospital
$63.59Published rateKing'S Daughters Medial Center
Ashland Hospital Corporation
$63.59Published rateLung And Chest Medical Associates
$63.27Published rate
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See a sample payer proposalHCPCS J1440 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1440 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 J1440 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 |
|---|---|---|
| J1439-HCPCS | Low | Injection, ferric carboxymaltose, 1 mg |
| J1440-HCPCS | Low | Fecal microbiota, live - jslm, 1 ml |
| J1442-HCPCS | Low | Injection, filgrastim (G-CSF), excludes biosimilars, 1 microgram |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1440. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1440 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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