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See a sample rate comparisonHCPCS J1738 (Anjeso) 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, meloxicam, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1738 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J1738 by major payers:
$3.55
$3.29
$3.55
$3.34
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HCPCS J1738
5 of 25 sample ratesHigher to lower in this preview
Vlad Tomuta
Montefiore Medical Center
$9.42Published rateDemaris Wilson
Oswego Hospital
$3.75Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$3.27Published rateHospital Service District No. 1 Of Iberia Parish, Iberia Medical Center
$3.22Published rateAdrielle El-Dyson Otoo
New York City Health And Hospitals Corporation
$2.13Published rate
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See a sample payer proposalHCPCS J1738 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1738 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 J1738 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 |
|---|---|---|
| J1730-HCPCS | Low | Injection, diazoxide, up to 300 mg |
| J1738-HCPCS | Low | Injection, meloxicam, 1 mg |
| J1740-HCPCS | Low | Injection, ibandronate sodium, 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 J1738. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1738 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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