HCPCS J1956 (Levofloxacin) Fee Schedule
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.
| 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 |
| 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
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS J1956 | ||||||
United | J1956 | $2.07 | 1730390428 - AVERA MCKENNAN, AVERA MCKENNAN HOSPITAL NEONATAL INTENSIVE CARE UNIT | 460224743 - AVERA MCKENNAN | SD | General Acute Care Hospital (282N00000X) |
United | J1956 | $0.89 | 1700269610 - ARUN KUMAR CHANDRAN | 132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATION | MA | General Acute Care Hospital (282N00000X) |
United | J1956 | $40.00 | 1306119730 - VARIETY CHILDREN'S HOSPITAL, NICKLAUS CHILDREN'S MIAMI LAKES OUTPATIENT CENTER | 590638499 - (FL) VARIETY CHILDRENS HOSPITAL | FL | General Acute Care Hospital (282N00000X) |
United | J1956 | $1.88 | 1518916048 - NORTON, THE BETHANY CIRCLE OF KING'S DAUGHTERS' HEALTH OF MADISON, INDIANA, IN | 350895832 - (IN) NORTON - KINGS DAUGHTERS HEALTH INC | IN | General Acute Care Hospital (282N00000X) |
United | J1956 | $1.88 | 1871731240 - ST. JOSEPH'S HOSPITAL HEALTH CENTER | 150532254 - ST JOSEPHS HOSPITAL HEALTH CENTER | NY | General Acute Care Hospital (282N00000X) |
United | J1956 | $1.42 | 1639101751 - MASSACHUSETTS EYE AND EAR INFIRMARY | 222658209 - MASS GENERAL BRIGHAM INCORPORATED | MA | General Acute Care Hospital (282N00000X) |
United | J1956 | $1.95 | 1508060963 - ANDREAS RIMNER | 611791803 | NY | General Acute Care Hospital (282N00000X) |
United | J1956 | $1.88 | 1538535463 - MARY IMMACULATE HOSPITAL LLC, BON SECOURS MARY IMMACULATE HOSPITAL PRO FEE | 540548200 | VA | General Acute Care Hospital (282N00000X) |
United | J1956 | $1.88 | 1033168356 - NEW YORK VAMC, BROOKLYN VAMC | 132972977 - (NY) NEW YORK VAMC | NY | General Acute Care Hospital (282N00000X) |
United | J1956 | $2.00 | 1205098712 - RAM PAREKH | 800756169 | NY | General Acute Care Hospital (282N00000X) |
United | J1956 | $1.88 | 1306018072 - SEACOAST SURGERY | 10212444 - YORK HOSPITAL | ME | General Acute Care Hospital (282N00000X) |
United | J1956 | $1.88 | 1144632035 - ST CATHERINE HOSPITAL, ST CATHERINE PODIATRY | 611726975 | KS | General Acute Care Hospital (282N00000X) |
United | J1956 | $10.64 | 1326320003 - GHALEB DARWAZEH | 330672915 - FACULTY PHYSICIANS AND SURGEONS OF LLUSM | MD | General Acute Care Hospital (282N00000X) |
United | J1956 | $0.93 | 1508952235 - HH HEALTH SYSTEM, HELEN KELLER HOSPITAL | 472323163 - (AL) HH HEALTH SYSTEM | AL | General Acute Care Hospital (282N00000X) |
United | J1956 | $1.88 | 1538208210 - RIVERSIDE MEDICAL CENTER | 362414944 - (IL) RIVERSIDE MEDICAL CENTER | IL | General Acute Care Hospital (282N00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
Want to see your competitors' rates?
Start your trial today to unlock complete access to provider rates and fee schedules in your area.
Here's what you can do with PayerPrice
Renegotiate your managed care contracts
Benchmark your current rates against market averages to identify opportunities for rate optimization.
Prospect for new business using fee schedules
Access every provider's negotiated rates for every billing code in your market to inform your prospecting strategies.
Integrate real-time payer data into your workflows
Automatically keep fee schedules up-to-date without adding yet another log-in to your insurance systems. Connect via API or SQL.
PayerPrice shows you the exact negotiated rates that insurers publish under federal transparency rules.
We display the raw data directly from insurers' files, giving you the same information they make public. Learn more about Price Transparency.
HCPCS 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.
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS J1956) and we'll show you how you compare in 15 minutes or less.