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See a sample rate comparisonHCPCS J1740 (Boniva) 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, ibandronate sodium, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1740 |
| Medicare Payment Limit | $28.613  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 55150-0191-83 - IBANDRONATE SODIUM 1 MG/1 ML • 60505-6097-00 - IBANDRONATE SODIUM 1 MG/1 ML • 67457-0524-33 - IBANDRONATE SODIUM 1 MG/ML |
National average reimbursement for HCPCS J1740 by major payers:
$32.90
$34.22
$38.78
$31.30
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HCPCS J1740
5 of 25 sample ratesHigher to lower in this preview
Homayon Sidiq
Kelsey-Seybold Medical Group PLLC
$363.14Published rateMichael Killian
Red River Family Practice LLP
$30.85Published rateHari Pokala
Hari P Pokala Mdpa
$28.71Published rateMichael Paolucci
Montrose Memorial Hospital
$25.36Published rateSardar Khan
S D Khan Md PA
$21.17Published rate
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See a sample payer proposalHCPCS J1740 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1740 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 J1740 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 |
|---|---|---|
| 55150-0191-83-NDC | Moderate | IBANDRONATE SODIUM 1 MG/1 ML |
| 60505-6097-00-NDC | Moderate | IBANDRONATE SODIUM 1 MG/1 ML |
| 67457-0524-33-NDC | Moderate | IBANDRONATE SODIUM 1 MG/ML |
| 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 J1740. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1740 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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