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See a sample rate comparisonHCPCS J1742 (Corvert) 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, ibutilide fumarate, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for J1742 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00009-3794-01 - CORVERT (FLIP-TOP VIAL) 0.1 MG/ML • 23155-0326-31 - IBUTILIDE FUMARATE (SDV,PF,LATEX-FREE) 0.1 MG/1 ML |
National average reimbursement for HCPCS J1742 by major payers:
$253.70
$309.41
$320.79
$291.06
Compare published rates across providers.
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HCPCS J1742
5 of 25 sample ratesHigher to lower in this preview
Sutter Valley Hospitals, Sutter Health Sacramento Sierra Region
Sutter Valley Hospitals
$709.00Published rateUpstate Affiliate Organization, Ghs Cancer Inst-Andrews
Prisma Health - Upstate
$401.98Published rateJohn D. Archbold Memorial Hospital, Inc.
John D Archbold Memorial Hospital Inc
$298.29Published rateAdventist Midwest Health, Adventhealth Hinsdale
Adventist Midwest Health
$298.29Published rateShore Memorial Hospital
$226.10Published rate
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See a sample payer proposalHCPCS J1742 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1742 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 J1742 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 |
|---|---|---|
| 00009-3794-01-NDC | Moderate | CORVERT (FLIP-TOP VIAL) 0.1 MG/ML |
| 23155-0326-31-NDC | Moderate | IBUTILIDE FUMARATE (SDV,PF,LATEX-FREE) 0.1 MG/1 ML |
| J1741-HCPCS | Low | Injection, ibuprofen, 100 mg |
| J1742-HCPCS | Moderate | Injection, ibutilide fumarate, 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 J1742. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1742 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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