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HCPCS J1551 (Cutaquig) 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, immune globulin (cutaquig), 100 mg
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Drugs, Administered by Injection

Common Place of Service

None

99 - Other POS

11 - Office

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for J1551
Medicare Payment Limit
$14.232BuyandBill.com
WAC Price
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Related NDC Codes

00069-1061-02 - CUTAQUIG (1GM;16.5%,PF,LATEX-FREE) 165 MG/1 ML

00069-1476-02 - CUTAQUIG (2GM;16.5%,PF,LATEX-FREE) 165 MG/1 ML

00069-1509-02 - CUTAQUIG (4GM;16.5%,PF,LATEX-FREE) 165 MG/1 ML

00069-1965-02 - CUTAQUIG (8GM;16.5%,PF,LATEX-FREE) 165 MG/1 ML

68982-0810-01 - CUTAQUIG (PF,LATEX-FREE) 165 MG/1 ML


National average reimbursement for HCPCS J1551 by major payers:

bcbs

$16.07

uhc

$15.59

aetna

$16.65

cigna

$15.47

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS J1551.

HCPCS J1551
5 of 25 sample ratesHigher to lower in this preview
  1. Timur Mushekov

    Montefiore Medical Center

    NYGeneral Acute Care HospitalNPI 1245563485Tax ID 13-1740114

    $33.50Published rate
  2. Daniella Munteanu

    NYGeneral Acute Care HospitalNPI 1427289438Tax ID 61-603195

    $17.11Published rate
  3. Gulf Health Hospitals, Inc., North Baldwin Infirmary

    Gulf Health Hospitals Inc

    ALGeneral Acute Care HospitalNPI 1134164924Tax ID 63-0891904

    $14.52Published rate
  4. Southwest Healthcare Of Brown County Ohio, LLC, Southwest Regional Medical Center

    OHGeneral Acute Care HospitalNPI 1558315010Tax ID 31-6001668

    $14.50Published rate
  5. Licking Memorial Hospital

    OHGeneral Acute Care HospitalNPI 1568446755Tax ID 31-4379519

    $0.15Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS J1551 vs. Other Drugs, Administered by Injection Codes

The HCPCS J1551 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 J1551 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.

CodeComplexityDescription
00069-1061-02-NDCModerateCUTAQUIG (1GM;16.5%,PF,LATEX-FREE) 165 MG/1 ML
00069-1476-02-NDCModerateCUTAQUIG (2GM;16.5%,PF,LATEX-FREE) 165 MG/1 ML
00069-1509-02-NDCModerateCUTAQUIG (4GM;16.5%,PF,LATEX-FREE) 165 MG/1 ML
J1551-HCPCSLowInjection, immune globulin (cutaquig), 100 mg

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1551. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J1551 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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