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See a sample rate comparisonHCPCS J1956 (Levofloxacin) 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, levofloxacin, 250 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 J1956 |
| Medicare Payment Limit | $2.538  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00143-9315-24 - LEVOFLOXACIN IN 5% DEXTROSE NOVAPLUS (24X50ML, SINGLE-USE,PF) 5%-250 MG/50 ML • 00143-9316-24 - LEVOFLOXACIN IN 5% DEXTROSE NOVAPLUS (24X100ML, SINGLE-USE,PF) 5%-500 MG/100 ML • 00143-9317-24 - LEVOFLOXACIN IN 5% DEXTROSE NOVAPLUS (24X150ML, SINGLE-USE,PF) 5%-750 MG/150 ML • 00409-0528-15 - LEVOFLOXACIN IN 5% DEXTROSE (24X50ML, SINGLE-USE,PF) 5%-250 MG/50 ML • 00409-0528-25 - LEVOFLOXACIN IN 5% DEXTROSE (24X100ML, SINGLE-USE,PF) 5%-500 MG/100 ML |
National average reimbursement for HCPCS J1956 by major payers:
$1.59
$1.53
$2.17
$1.51
Compare published rates across providers.
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HCPCS J1956
5 of 25 sample ratesHigher to lower in this preview
Variety Children'S Hospital, Nicklaus Children'S Miami Lakes Outpatient Center
Variety Childrens Hospital
$40.00Published rateNorth Colorado Medical Center
$1.91Published rateRiverside Medical Center
$1.88Published rateMassachusetts Eye And Ear Infirmary
Mass General Brigham Incorporated
$1.42Published rateRobert Wood Johnson University Hospital, Inc
Robert Wood Johnson University Hospital
$0.93Published rate
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See a sample payer proposalHCPCS J1956 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1956 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 J1956 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 |
|---|---|---|
| 00143-9315-24-NDC | Moderate | LEVOFLOXACIN IN 5% DEXTROSE NOVAPLUS (24X50ML, SINGLE-USE,PF) 5%-250 MG/50 ML |
| 00143-9316-24-NDC | Moderate | LEVOFLOXACIN IN 5% DEXTROSE NOVAPLUS (24X100ML, SINGLE-USE,PF) 5%-500 MG/100 ML |
| 00143-9317-24-NDC | Moderate | LEVOFLOXACIN IN 5% DEXTROSE NOVAPLUS (24X150ML, SINGLE-USE,PF) 5%-750 MG/150 ML |
| J1956-HCPCS | Low | Injection, levofloxacin, 250 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1956. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1956 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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