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See a sample rate comparisonHCPCS J1950 (Lupron Depot) Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, leuprolide acetate (for depot suspension), per 3.75 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 | High |
| Medicaid Fee Schedule | View Medicaid rates for J1950 |
| Medicare Payment Limit | $1730.324  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00074-2108-03 - LUPRON DEPOT-PED (LYOPHILIZED) 7.5 MG • 00074-2282-03 - LUPRON DEPOT-PED (LYOPHILIZED) 11.25 MG • 00074-2440-03 - LUPRON DEPOT-PED (LYOPHILIZED) 15 MG • 00074-3575-01 - LUPRON DEPOT-PED (PF,LATEX-FREE) 45 MG • 00074-3641-03 - LUPRON DEPOT 3.75 MG |
National average reimbursement for HCPCS J1950 by major payers:
$1,412.74
$1,731.86
$1,785.40
$1,704.64
Compare published rates across providers.
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HCPCS J1950
5 of 25 sample ratesHigher to lower in this preview
Humberto Linares
Sutter Valley Medical Foundation
$2,858.33Published rateRobert Costello
Robert Costello Md LLC
$1,863.43Published rateKaren Hart
Prospect Medical Office LLC
$1,855.47Published rateNiktha Kasinathan
Rutgers Healthrwj Scleroderma Program / Rutgersrwj Travel Program / Umdnj Rwj Medicine Psychological Counseling
$1,666.78Published rateLuis Correa
Onemd LLC
$1,333.42Published rate
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See a sample payer proposalHCPCS J1950 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1950 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 J1950 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 |
|---|---|---|
| 00074-2108-03-NDC | Moderate | LUPRON DEPOT-PED (LYOPHILIZED) 7.5 MG |
| 00074-2282-03-NDC | Moderate | LUPRON DEPOT-PED (LYOPHILIZED) 11.25 MG |
| 00074-2440-03-NDC | Moderate | LUPRON DEPOT-PED (LYOPHILIZED) 15 MG |
| J1950-HCPCS | High | Injection, leuprolide acetate (for depot suspension), per 3.75 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1950. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1950 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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