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See a sample rate comparisonHCPCS J1650 (Enoxaparin Sodium) 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, enoxaparin sodium, 10 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1650 |
| Medicare Payment Limit | $0.587  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00075-0620-40 - LOVENOX 40 MG/0.4 ML • 00075-0621-60 - LOVENOX (SRN,PREFILLED) 60 MG/0.6 ML • 00075-0622-80 - LOVENOX (SRN,PREFILLED) 80 MG/0.8 ML • 00075-0623-00 - LOVENOX (SRN,PREFILLED) 100 MG/ML • 00075-0624-30 - LOVENOX (SRN) 30 MG/0.3 ML |
National average reimbursement for HCPCS J1650 by major payers:
$0.67
$0.72
$0.99
$0.71
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HCPCS J1650
5 of 25 sample ratesHigher to lower in this preview
Salem Health, Salem Hospital
Salem Health
$5.80Published rateMercy Hospital Springfield, Mercy Hospital Springfield
Mercy Hospital Springfield
$0.99Published rateMercy Hospital
Mercy Hospital Of Buffalo
$0.56Published rateArun Kumar Chandran
Mount Auburn Professional Services Inc
$0.56Published rateRebecca Kiko
Aultman Deuble Heart Vascular Hospital LLC
$0.47Published rate
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See a sample payer proposalHCPCS J1650 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1650 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 J1650 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 |
|---|---|---|
| 00075-0620-40-NDC | Moderate | LOVENOX 40 MG/0.4 ML |
| 00075-0621-60-NDC | Moderate | LOVENOX (SRN,PREFILLED) 60 MG/0.6 ML |
| 00075-0622-80-NDC | Moderate | LOVENOX (SRN,PREFILLED) 80 MG/0.8 ML |
| J1650-HCPCS | Low | Injection, enoxaparin sodium, 10 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1650. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1650 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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