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See a sample rate comparisonHCPCS J1920 (Labetalol 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, labetalol hydrochloride, 5 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 20 - Urgent Care Facility |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1920 |
| Medicare Payment Limit | $0.342  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00143-9320-01 - PREMIERPRO RX LABETALOL HCL (MDV) 5 MG/1 ML • 00143-9622-01 - LABETALOL HCL (MDV) 5 MG/1 ML • 00143-9623-01 - LABETALOL HCL (MDV) 5 MG/1 ML • 00409-0125-25 - LABETALOL HCL (MDV,LATEX-FREE) 5 MG/1 ML • 00409-2267-54 - LABETALOL HCL (M.D.V.,LATEX-FREE) 5 MG/1 ML |
National average reimbursement for HCPCS J1920 by major payers:
$0.22
$0.29
$0.31
$0.28
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HCPCS J1920
5 of 25 sample ratesHigher to lower in this preview
Ucsf Medical Center, Ucsf Hospital And Clinics
$1.11Published rateKaleida Health
$0.28Published rateBrfhh Shreveport LLC, University Health Shreveport
$0.27Published rateMonongalia County General Hospital Company, Mon Health Medical Center
Monongalia County General Hospital Company
$0.27Published rateGonzales Healthcare Systems
$0.07Published rate
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See a sample payer proposalHCPCS J1920 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1920 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 J1920 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 |
|---|---|---|
| 00143-9320-01-NDC | Moderate | PREMIERPRO RX LABETALOL HCL (MDV) 5 MG/1 ML |
| 00143-9622-01-NDC | Moderate | LABETALOL HCL (MDV) 5 MG/1 ML |
| 00143-9623-01-NDC | Moderate | LABETALOL HCL (MDV) 5 MG/1 ML |
| J1920-HCPCS | Low | Injection, labetalol hydrochloride, 5 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1920. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1920 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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