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See a sample rate comparisonHCPCS J1610 (Glucagen) Fee Schedule
Last Verified: October 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, glucagon hydrochloride, per 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office 49 - Independent Clinic |
| Complexity Level | Low |
| Medicare Fee Schedule | $105.49 per 1 mg (October 2026 ASP) · View Medicare rates for J1610 |
| Medicaid Fee Schedule | $129.885 median of the 8 states in the free preview · View Medicaid rates for J1610 |
| Medicare Payment Limit | $182.447  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00378-8067-90 - GLUCAGON EMERGENCY KIT W/DILUENT SYRINGE,LYOPHILIZED 1 MG • 00548-5850-00 - GLUCAGON EMERGENCY KIT (W/DILUENT SYRINGE) 1 MG • 54868-5070-00 - GLUCAGON EMERGENCY KIT 1 MG • 70748-0311-01 - GLUCAGON EMERGENCY KIT W/DILUENT SYRINGE,LYOPHILIZED 1 MG |
National average reimbursement for HCPCS J1610 by major payers:
$173.81
$203.36
$210.81
$202.77
Compare published rates across providers.
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HCPCS J1610
5 of 25 sample ratesHigher to lower in this preview
Allina Health System, Owatonna Hospital
Allina Health System
$422.48Published rateUniversity Of Miss Medical Center, University Of Ms Medical Center
Hattiesburg Clinic, P.A.
$234.86Published rateSinai Hospital Of Baltimore, Inc.
Sinai Hospital Of Baltimore Inc
$192.30Published rateOur Lady Of The Angels Hospital, Inc., Our Lady Of The Angels Hospital
Our Lady Of The Angels Hospital Inc
$184.17Published rateNorth Shore Medical Center, Inc., North Shore Medical Center
$55.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J1610 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1610 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 J1610 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 |
|---|---|---|
| 00378-8067-90-NDC | Moderate | GLUCAGON EMERGENCY KIT W/DILUENT SYRINGE,LYOPHILIZED 1 MG |
| 00548-5850-00-NDC | Moderate | GLUCAGON EMERGENCY KIT (W/DILUENT SYRINGE) 1 MG |
| 54868-5070-00-NDC | Moderate | GLUCAGON EMERGENCY KIT 1 MG |
| J1610-HCPCS | Low | Injection, glucagon hydrochloride, per 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1610. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1610 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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