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See a sample rate comparisonHCPCS J2180 (Mepergan) 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, meperidine and promethazine HCl, up to 50 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J2180 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J2180 by major payers:
$9.60
$4.09
$9.08
$4.18
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HCPCS J2180
5 of 25 sample ratesHigher to lower in this preview
North Shore Medical Center, Inc., North Shore Medical Center
North Shore Medical Center Inc
$55.00Published rateChildress County Hospital District, Childress Regional Medical Center
$8.11Published rateWayne Memorial Hospital
$3.78Published rateRiverview Hospital, Riverview Health
Riverview Hospital
$3.78Published rateNew York City Health And Hospitals Corporation, North Central Bronx Hospital
New York City Health And Hospitals Corporation
$2.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J2180 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2180 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 J2180 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 |
|---|---|---|
| J2175-HCPCS | Low | Injection, meperidine hydrochloride, per 100 mg |
| J2180-HCPCS | Low | Injection, meperidine and promethazine HCl, up to 50 mg |
| J2182-HCPCS | Low | Injection, mepolizumab, 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2180. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2180 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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