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See a sample rate comparisonHCPCS J1576 (Panzyga) 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 (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 99 - Other POS 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1576 |
| Medicare Payment Limit | $72.996  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00069-1011-02 - PANZYGA (PF,LATEX-FREE) 100 MG/1 ML • 00069-1109-02 - PANZYGA (PF,LATEX-FREE) 100 MG/1 ML • 00069-1224-02 - PANZYGA (PF,LATEX-FREE) 100 MG/1 ML • 00069-1312-02 - PANZYGA (PF,LATEX-FREE) 100 MG/1 ML • 00069-1415-02 - PANZYGA (PF,LATEX-FREE) 100 MG/1 ML |
National average reimbursement for HCPCS J1576 by major payers:
$72.43
$73.05
$77.49
$72.37
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HCPCS J1576
5 of 25 sample ratesHigher to lower in this preview
St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde, St. Joseph'S Hospital
St Josephs Hosp Of The Hosp Sisters Of The 3rd Order Of St Francis
$115.12Published rateRabi Upadhyay
New York City Health And Hospitals Corporation
$81.54Published rateKenmore Mercy Hospital
$75.55Published rateSt. Peter'S Health, St. Peter'S Community Hospital
St Peters Health
$69.09Published rateShella Frenel
Genesis Medical Health PC
$35.24Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J1576 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1576 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 J1576 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 |
|---|---|---|
| 00069-1011-02-NDC | Moderate | PANZYGA (PF,LATEX-FREE) 100 MG/1 ML |
| 00069-1109-02-NDC | Moderate | PANZYGA (PF,LATEX-FREE) 100 MG/1 ML |
| 00069-1224-02-NDC | Moderate | PANZYGA (PF,LATEX-FREE) 100 MG/1 ML |
| J1576-HCPCS | Low | Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1576. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1576 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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