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See a sample rate comparisonHCPCS J1930 (Somatuline Depot) 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, lanreotide, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1930 |
| Medicare Payment Limit | $34.046  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 15054-1060-04 - SOMATULINE DEPOT (1X0.2ML, SINGLE USE) 60 MG/0.2 ML • 15054-1090-04 - SOMATULINE DEPOT (1X0.3ML, SINGLE USE) 90 MG/0.3 ML • 15054-1120-04 - SOMATULINE DEPOT (1X0.5ML, SINGLE USE) 120 MG/0.5 ML • 69097-0906-67 - LANREOTIDE (SINGLE USE PFS) 120 MG/0.5 ML • 76282-0720-67 - LANREOTIDE (SINGLE USE PFS) 120 MG/0.5 ML |
National average reimbursement for HCPCS J1930 by major payers:
$50.74
$52.54
$57.17
$53.17
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HCPCS J1930
5 of 25 sample ratesHigher to lower in this preview
Sameera Maganti
Care First Nj LLC
$50.02Published rateEdrik Acevedo Beltran
Hackensack Meridian Health Medical Group-Specialty Care PC
$47.45Published rateVictoria Goldman-Gorelov
$46.09Published rateRichard Mojares
$44.97Published rateOlga Kaczaj
South Main Medical Associates LLC
$33.74Published rate
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See a sample payer proposalHCPCS J1930 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1930 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 J1930 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 |
|---|---|---|
| 15054-1060-04-NDC | Moderate | SOMATULINE DEPOT (1X0.2ML, SINGLE USE) 60 MG/0.2 ML |
| 15054-1090-04-NDC | Moderate | SOMATULINE DEPOT (1X0.3ML, SINGLE USE) 90 MG/0.3 ML |
| 15054-1120-04-NDC | Moderate | SOMATULINE DEPOT (1X0.5ML, SINGLE USE) 120 MG/0.5 ML |
| J1930-HCPCS | Low | Injection, lanreotide, 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 J1930. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1930 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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