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See a sample rate comparisonHCPCS J1611 (Glucagon Emergency) 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, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, per 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 21 - Inpatient Hospital |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1611 |
| Medicare Payment Limit | $148.989  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J1611 by major payers:
$121.29
$118.41
$131.67
$117.78
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HCPCS J1611
5 of 25 sample ratesHigher to lower in this preview
Auburn Community Hospital
$284.60Published rateWellmont Health System, Lonesome Pine Hospital
Wellmont Health System
$158.19Published rateChickasaw Nation Division Of Health Chickasaw Nation Medical Center, Chickasaw Nation Medical Center
$129.66Published rateTuality Healthcare, Thc Based Physicians
Tuality Healthcare
$108.93Published rateDiana Sabirova
$108.38Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J1611 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1611 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 J1611 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 |
|---|---|---|
| J1610-HCPCS | Low | Injection, glucagon hydrochloride, per 1 mg |
| J1611-HCPCS | Low | Injection, glucagon hydrochloride (fresenius kabi), not therapeutically equivalent to j1610, 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 J1611. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1611 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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