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See a sample rate comparisonHCPCS J1955 (Carnitor) 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, levocarnitine, per 1 gm
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1955 |
| Medicare Payment Limit | $23.607  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00143-9852-10 - LEVOCARNITINE (SDV,PF,LATEX-FREE) 200 MG/1 ML • 00517-1045-01 - LEVOCARNITINE (SDV,PF) 200 MG/1 ML • 00517-1045-05 - LEVOCARNITINE (SDV,PF) 200 MG/1 ML • 00517-1075-01 - LEVOCARNITINE (SDV,PF) 200 MG/1 ML • 49452-1776-01 - L-CARNITINE HYDROCHLORIDE |
National average reimbursement for HCPCS J1955 by major payers:
$30.08
$28.79
$31.10
$29.54
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HCPCS J1955
5 of 25 sample ratesHigher to lower in this preview
Bay Area Healthcare Group, Ltd., Corpus Christi Medical Center
$65.66Published rateNorth Shore Medical Center
Mass General Brigham Incorporated
$36.84Published rateSt. Luke'S Methodist Hospital, Inc.
St Lukes Methodist Hospital
$27.71Published rateSouthwest Medical Care Corporation
$25.55Published rateOmaha Vamc
$25.55Published rate
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See a sample payer proposalHCPCS J1955 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1955 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 J1955 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 |
|---|---|---|
| 00143-9852-10-NDC | Moderate | LEVOCARNITINE (SDV,PF,LATEX-FREE) 200 MG/1 ML |
| 00517-1045-01-NDC | Moderate | LEVOCARNITINE (SDV,PF) 200 MG/1 ML |
| 00517-1045-05-NDC | Moderate | LEVOCARNITINE (SDV,PF) 200 MG/1 ML |
| J1955-HCPCS | Low | Injection, levocarnitine, per 1 gm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1955. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1955 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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