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See a sample rate comparisonHCPCS J1442 (Neupogen) Fee Schedule
Medicare rates as of October 2026
HCPCS J1442 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
Injection, filgrastim (G-CSF), excludes biosimilars, 1 microgram
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office |
| Complexity Level | Low |
| Medicare Fee Schedule | $0.994 per billing unit (October 2026 ASP) · View Medicare rates for J1442 |
| Medicaid Fee Schedule | $0.99 median of the 8 states in the free preview · View Medicaid rates for J1442 |
| Medicare Payment Limit | $0.996  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 55513-0209-01 - NEUPOGEN (26GX5/8",PF,SINGLEJECT) 480 MCG/0.8 ML • 55513-0209-10 - NEUPOGEN (26GX5/8",0.8MLX10,PF) 480 MCG/0.8 ML • 55513-0530-01 - NEUPOGEN (S.D.V.,PF) 300 MCG/1 ML • 55513-0530-10 - NEUPOGEN (SDV,1MLX10,PF) 300 MCG/1 ML • 55513-0546-01 - NEUPOGEN (S.D.V.,PF) 480 MCG/1.6 ML |
National average reimbursement for HCPCS J1442 by major payers:
$1.07
BCBS / Anthem
$1.09
UnitedHealthcare
$1.10
Aetna
$1.06
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J1442.
HCPCS J1442
5 of 25 sample ratesHigher to lower in this preview
Lisa Joseph
Summit Medical Group, P.A.
$1.17Published rateLeonardo Holguin
Ipc Hospitalist Physicians Of New Jersey PC
$1.09Published rateSofiya Mirson
Jefferson University Physicians Of New Jersey PC
$1.03Published rateJames Franklin
James & Annette Franklin, M.D., P.C.
$0.98Published rateHilal Abboushi
Hilal Medical Center LLC
$0.74Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J1442 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J1442. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 55513-0209-01-NDC | Moderate | NEUPOGEN (26GX5/8",PF,SINGLEJECT) 480 MCG/0.8 ML |
| 55513-0209-10-NDC | Moderate | NEUPOGEN (26GX5/8",0.8MLX10,PF) 480 MCG/0.8 ML |
| 55513-0530-01-NDC | Moderate | NEUPOGEN (S.D.V.,PF) 300 MCG/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 J1442. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1442 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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