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See a sample rate comparisonHCPCS J1442 (Neupogen) Fee Schedule
Last Verified: September 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, 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 | None 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | 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
$1.09
$1.10
$1.06
Compare published rates across providers.
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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 HCPCS J1442 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 J1442 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 |
|---|---|---|
| 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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