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See a sample rate comparisonHCPCS J2186 (Vabomere) 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, meropenem and vaborbactam, 10mg/10mg (20mg)
| 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 J2186 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J2186 by major payers:
$2.62
$2.18
$2.41
$2.22
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HCPCS J2186
5 of 25 sample ratesHigher to lower in this preview
UPMC Altoona, Williamsburg Family Practice
UPMC
$3.53Published rateMonroe Health Services, Inc.
Monroe Health Services Inc
$2.20Published rateSt. Vincent Healthcare, Medical Practices Division
Scl Health Montana
$2.11Published rateKaleida Health, John R. Oishei Children'S Hospital
Kaleida Health
$2.11Published rateSaint Francis Hospital Inc, Saint Francis Hospital Breast Center
Saint Francis Hospital Inc
$1.90Published rate
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See a sample payer proposalHCPCS J2186 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2186 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 J2186 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 |
|---|---|---|
| J2185-HCPCS | Low | Injection, meropenem, 100 mg |
| J2186-HCPCS | Low | Injection, meropenem and vaborbactam, 10mg/10mg (20mg) |
| J2210-HCPCS | Low | Injection, methylergonovine maleate, up to 0.2 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2186. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2186 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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