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See a sample rate comparisonHCPCS J1575 (Hyqvia) Fee Schedule
Medicare rates as of October 2026
HCPCS J1575 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
Injection, immune globulin/hyaluronidase, (HYQVIA), 100 mg immuneglobulin
| 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 | $19.29 per billing unit (October 2026 ASP) · View Medicare rates for J1575 |
| Medicaid Fee Schedule | $18.345 median of the 8 states in the free preview · View Medicaid rates for J1575 |
| Medicare Payment Limit | $18.151  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00944-2510-02 - HYQVIA (PF,LATEX-FREE) 160 U/ML-10% • 00944-2511-02 - HYQVIA (PF,LATEX-FREE) 160 U/ML-10% • 00944-2512-02 - HYQVIA (PF,LATEX-FREE) 160 U/ML-10% • 00944-2513-02 - HYQVIA (PF,LATEX-FREE) 160 U/ML-10% • 00944-2514-02 - HYQVIA (PF,LATEX-FREE) 160 U/ML-10% |
National average reimbursement for HCPCS J1575 by major payers:
$19.37
BCBS / Anthem
$18.76
UnitedHealthcare
$19.25
Aetna
$18.68
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J1575.
HCPCS J1575
5 of 25 sample ratesHigher to lower in this preview
Allina Health System, Owatonna Hospital
Allina Health System
$40.58Published rateUniversity Of Washington, University Of Washington Medical Center
$21.22Published rateProvidence Health & Services Washington, Providence Centralia Hospital
Providence Health & Services Washington
$19.60Published rateDilip Babu
Providence Health & Services Oregon
$17.69Published rateZachary Macdonald
New York City Health And Hospitals Corporation
$11.68Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J1575 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J1575. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 00944-2510-02-NDC | Moderate | HYQVIA (PF,LATEX-FREE) 160 U/ML-10% |
| 00944-2511-02-NDC | Moderate | HYQVIA (PF,LATEX-FREE) 160 U/ML-10% |
| 00944-2512-02-NDC | Moderate | HYQVIA (PF,LATEX-FREE) 160 U/ML-10% |
| J1575-HCPCS | Low | Injection, immune globulin/hyaluronidase, (HYQVIA), 100 mg immuneglobulin |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1575. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1575 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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