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See a sample rate comparisonHCPCS J1729 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, hydroxyprogesterone caproate, not otherwise specified, 10 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 J1729 |
| Related NDC Codes | • 00517-1791-01 - HYDROXYPROGESTERONE CAPROATE NOVAPLUS (SDV,PF) 250 MG/1 ML • 71225-0104-01 - HYDROXYPROGESTERONE CAPROATE (MULTI-DOSE VIAL) 250 MG/1 ML • 71225-0105-01 - HYDROXYPROGESTERONE CAPROATE (PF) 250 MG/1 ML |
National average reimbursement for HCPCS J1729 by major payers:
$15.07
$14.36
$14.63
$15.06
Compare published rates across providers.
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HCPCS J1729
5 of 25 sample ratesHigher to lower in this preview
Protestant Memorial Medical Center, Inc., Memorial Hospital
$50.59Published rateFarah Piracha
North Shore-Lij Medical PC
$18.54Published rateMonroe Hma, LLC, Clearview Regional Medical Center
Monroe Hma LLC
$14.05Published rateMount St. Mary'S Hospital Of Niagara Falls, Mount St. Mary'S Hospital Clinics
Mount St Marys Hospital Of Niagara Falls
$14.05Published rateSaint Francis Hospital Inc, Saint Francis Hospital Breast Center
Saint Francis Hospital Inc
$12.64Published rate
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See a sample payer proposalHCPCS J1729 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1729 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 J1729 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 |
|---|---|---|
| 00517-1791-01-NDC | Moderate | HYDROXYPROGESTERONE CAPROATE NOVAPLUS (SDV,PF) 250 MG/1 ML |
| 71225-0104-01-NDC | Moderate | HYDROXYPROGESTERONE CAPROATE (MULTI-DOSE VIAL) 250 MG/1 ML |
| 71225-0105-01-NDC | Moderate | HYDROXYPROGESTERONE CAPROATE (PF) 250 MG/1 ML |
| J1729-HCPCS | Low | Injection, hydroxyprogesterone caproate, not otherwise specified, 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 J1729. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1729 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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