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See a sample rate comparisonHCPCS J2021 (Linezolid) 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, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J2021 |
| Medicare Payment Limit | $6.338  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00409-4883-01 - LINEZOLID 2 MG/ML • 00409-4883-10 - LINEZOLID (FREEFLEX BAG,LATEX-FREE) 2 MG/1 ML |
National average reimbursement for HCPCS J2021 by major payers:
$15.90
$15.57
$17.19
$15.88
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HCPCS J2021
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$28.61Published rateVail Clinic, Inc., Vail Health Hospital
Vail Clinic Inc
$16.43Published rateFirelands Regional Medical Center
$14.76Published rateEvelyn Erickson
Downtown Bronx Medical Associates PC
$8.77Published rateSouthwest Medical Care Corporation
$8.27Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J2021 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2021 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 J2021 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 |
|---|---|---|
| 00409-4883-01-NDC | Moderate | LINEZOLID 2 MG/ML |
| 00409-4883-10-NDC | Moderate | LINEZOLID (FREEFLEX BAG,LATEX-FREE) 2 MG/1 ML |
| J2020-HCPCS | Low | Injection, linezolid, 200 mg |
| J2021-HCPCS | Low | Injection, linezolid (hospira), not therapeutically equivalent to j2020, 200 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2021. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2021 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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