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See a sample rate comparisonHCPCS J1932 (Lanreotide) 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, (cipla), 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 J1932 |
| Medicare Payment Limit | $29.844  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 69097-0870-67 - LANREOTIDE (SINGLE USE) 120 MG/0.5 ML |
National average reimbursement for HCPCS J1932 by major payers:
$40.69
$39.75
$45.20
$39.87
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HCPCS J1932
5 of 25 sample ratesHigher to lower in this preview
University Of California Irvine, Uci Medical Center
Regents Of The University Of California At Irvine
$312.20Published rateEisenhower Medical Center, Eisenhower Health
Eisenhower Medical Center
$39.22Published rateWilbarger County Hospital District, Wilbarger General Hospital
Wilbarger General Hospital Employee Benefit Plan
$36.79Published rateCayuga Medical Center
Cayuga Medical Center At Ithaca
$32.52Published rateValley Hospitalists Group PLLC
$30.68Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J1932 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1932 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 J1932 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 |
|---|---|---|
| 69097-0870-67-NDC | Moderate | LANREOTIDE (SINGLE USE) 120 MG/0.5 ML |
| J1931-HCPCS | Low | Injection, laronidase, 0.1 mg |
| J1932-HCPCS | Low | Injection, lanreotide, (cipla), 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 J1932. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1932 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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