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See a sample rate comparisonHCPCS J2248 (Micafungin Sodium) Fee Schedule
Last Verified: November 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, micafungin sodium, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 99 - Other POS |
| Complexity Level | Low |
| Medicare Fee Schedule | $0.203 per 1 mg (October 2026 ASP) · View Medicare rates for J2248 |
| Medicaid Fee Schedule | $0.22 median of the 8 states in the free preview · View Medicaid rates for J2248 |
| Medicare Payment Limit | $0.256  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00143-9361-01 - MICAFUNGIN SODIUM (PF,LATEX-FREE) 50 MG • 00143-9362-01 - MICAFUNGIN SODIUM (PF,LATEX-FREE) 100 MG • 00469-3211-10 - MYCAMINE (W/RED FLIP-OFF CAP) 100 MG • 00469-3250-10 - MYCAMINE (PF) 50 MG • 16714-0164-10 - MICAFUNGIN SODIUM (SDV,PF,LATEX-FREE) 50 MG |
National average reimbursement for HCPCS J2248 by major payers:
$0.39
$0.39
$0.51
$0.35
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HCPCS J2248
5 of 25 sample ratesHigher to lower in this preview
Trinity Home Health Services, Mercyone Des Moines Home Infusion
Trinity Home Health Services
$1.63Published rateFlare Medical Services Corp
$0.41Published rateMann Eye Center, PA, Mann Eye Institute All Locations
Mann Eye Center, PA
$0.28Published rateRidgeline Physician Services, LLC, Wellspring Health Services
Ridgeline Physician Services P
$0.28Published rateCarolina Express Clinic
$0.28Published rate
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See a sample payer proposalHCPCS J2248 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2248 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 J2248 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 |
|---|---|---|
| 00143-9361-01-NDC | Moderate | MICAFUNGIN SODIUM (PF,LATEX-FREE) 50 MG |
| 00143-9362-01-NDC | Moderate | MICAFUNGIN SODIUM (PF,LATEX-FREE) 100 MG |
| 00469-3211-10-NDC | Moderate | MYCAMINE (W/RED FLIP-OFF CAP) 100 MG |
| J2248-HCPCS | Low | Injection, micafungin sodium, 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 J2248. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2248 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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