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See a sample rate comparisonHCPCS J1960 (Levorphanol Tartrate) 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, levorphanol tartrate, up to 2 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 J1960 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 38779-0885-03 - LEVORPHANOL TARTRATE (U.S.P.) • 38779-0885-06 - LEVORPHANOL TARTRATE (U.S.P.) • 51927-1007-00 - LEVORPHANOL TARTRATE (U.S.P.; CII) |
National average reimbursement for HCPCS J1960 by major payers:
$5.88
$4.32
$1.03
$3.79
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HCPCS J1960
5 of 25 sample ratesHigher to lower in this preview
North Shore Medical Center, Inc., North Shore Medical Center
$40.00Published rateTruman Medical Center, Incorporated, University Health Lakewood Medical Center
Truman Medical Center Incorporated
$4.25Published rateBaptist Memorial Health Care Corp.
Baptist Memorial Medical Group Inc
$4.25Published rateAvista Adventist Hospital
Portercare Adventist Health System
$4.25Published rateGonzales Healthcare Systems
$1.70Published rate
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See a sample payer proposalHCPCS J1960 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1960 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 J1960 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 |
|---|---|---|
| 38779-0885-03-NDC | Moderate | LEVORPHANOL TARTRATE (U.S.P.) |
| 38779-0885-06-NDC | Moderate | LEVORPHANOL TARTRATE (U.S.P.) |
| 51927-1007-00-NDC | Moderate | LEVORPHANOL TARTRATE (U.S.P.; CII) |
| J1960-HCPCS | Low | Injection, levorphanol tartrate, up to 2 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1960. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1960 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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