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See a sample rate comparisonHCPCS J1720 (Solu Cortef) 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, hydrocortisone sodium succinate, up to 100 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1720 |
| Medicare Payment Limit | $21.312  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00009-0825-01 - SOLU-CORTEF 100 MG • 69097-0004-67 - HYDROCORTISONE SODIUM SUCCINATE SDV,LYOPHILIZED 100 MG |
National average reimbursement for HCPCS J1720 by major payers:
$19.96
$19.72
$21.00
$20.25
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HCPCS J1720
5 of 25 sample ratesHigher to lower in this preview
Wendell Grogan
Kingwood Neurology And Sleep
$18.50Published rateRobert Low
Internal Medicine Associates
$17.91Published rateDavid Gregory Walker, M.D., P.A.
David Gregory Walker Md PA
$17.85Published rateMaria De La Luz Villegas
$17.67Published rateDominion Family Healthcare PLLC
$2.22Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J1720 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1720 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 J1720 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 |
|---|---|---|
| 00009-0825-01-NDC | Moderate | SOLU-CORTEF 100 MG |
| 69097-0004-67-NDC | Moderate | HYDROCORTISONE SODIUM SUCCINATE SDV,LYOPHILIZED 100 MG |
| J1720-HCPCS | Low | Injection, hydrocortisone sodium succinate, up to 100 mg |
| J1726-HCPCS | Low | Injection, hydroxyprogesterone caproate, (makena), 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 J1720. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1720 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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