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See a sample rate comparisonHCPCS J1806 (Esmolol Hcl) Fee Schedule
Last Verified: September 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, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 10 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 24 - Ambulatory Surgical Center |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1806 |
| Medicare Payment Limit | $0.437  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 44567-0811-10 - ESMOLOL HCL (PF,LATEX-FREE) 2500 MG/250 ML • 44567-0812-10 - ESMOLOL HCL (PF,LATEX-FREE) 2000 MG/100 ML |
National average reimbursement for HCPCS J1806 by major payers:
$0.39
$0.38
$0.44
$0.39
Compare published rates across providers.
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HCPCS J1806
5 of 25 sample ratesHigher to lower in this preview
Christina Boyd
Regents Of The University Of California At Irvine
$2.36Published rateNorthwest Sahuarita Hospital LLC, Northwest Medical Center Sahuarita
Northwest Sahuarita Hospital LLC
$0.58Published rateOpelousas General Hospital Authority
$0.40Published rateLexington Vamc, Lexington Cooper Vamc
Lexington Vamc
$0.36Published rateSvetlana Grinblat
New York City Health And Hospitals Corporation
$0.28Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J1806 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1806 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 J1806 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 |
|---|---|---|
| 44567-0811-10-NDC | Moderate | ESMOLOL HCL (PF,LATEX-FREE) 2500 MG/250 ML |
| 44567-0812-10-NDC | Moderate | ESMOLOL HCL (PF,LATEX-FREE) 2000 MG/100 ML |
| J1805-HCPCS | Low | Injection, esmolol hydrochloride, 10 mg |
| J1806-HCPCS | Low | Injection, esmolol hydrochloride (wg critical care), not therapeutically equivalent to j1805, 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 J1806. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1806 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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