Rate Benchmarking
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Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS J1555 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 99 - Other POS 11 - Office |
| Complexity Level | Low |
| Medicare Fee Schedule | $17.99 per 100 mg (October 2026 ASP) · View Medicare rates for J1555 |
| Medicaid Fee Schedule | $18.065 median of the 8 states in the free preview · View Medicaid rates for J1555 |
| Medicare Payment Limit | |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00944-2850-01 - CUVITRU (1GM,PF,LATEX-FREE) 20% • 00944-2850-02 - CUVITRU (1GM, INNER PACK NDC,PF) 20% • 00944-2850-03 - CUVITRU (2GM,PF,LATEX-FREE) 20% • 00944-2850-04 - CUVITRU (2GM, INNER PACK NDC,PF) 20% • 00944-2850-05 - CUVITRU (4GM,PF,LATEX-FREE) 20% |
National average reimbursement for HCPCS J1555 by major payers:

$18.55
BCBS / Anthem

$18.04
UnitedHealthcare

$18.76
Aetna

$17.93
Cigna
Choose a payer to see a sample of rates for HCPCS J1555.
Sutter Valley Hospitals, Sutter Davis Hospital
Sutter Valley Hospitals
Glens Falls Hospital Inc
Albany Med Health System
Houston County Healthcare Authority, Southeast Health Medical Center
Fort Hamilton Hospital, Kettering Health Hamilton
Fort Hamilton Hospital
King'S Daughters Medical Center
Kings Daughters Medical Center
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS J1555 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J1555. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 00944-2850-01-NDC | Moderate | CUVITRU (1GM,PF,LATEX-FREE) 20% |
| 00944-2850-02-NDC | Moderate | CUVITRU (1GM, INNER PACK NDC,PF) 20% |
| 00944-2850-03-NDC | Moderate | CUVITRU (2GM,PF,LATEX-FREE) 20% |
| J1555-HCPCS | Low | Injection, immune globulin (cuvitru), 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 J1555. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1555 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.
Bring your top codes (like HCPCS J1555) and we'll show you how you compare in 15 minutes or less.