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See a sample rate comparisonHCPCS J2300 (Nalbuphine Hcl) Fee Schedule
Medicare rates as of October 2026
HCPCS J2300 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
Injection, nalbuphine hydrochloride, per 10 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Complexity Level | Low |
| Medicare Fee Schedule | $4.07 per 10 mg (October 2026 ASP) · View Medicare rates for J2300 |
| Medicaid Fee Schedule | $3.67 median of the 8 states in the free preview · View Medicaid rates for J2300 |
| Medicare Payment Limit | $3.704  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00409-1463-01 - NALBUPHINE HCL (AMP,LATEX-FREE) 10 MG/ML • 00409-1464-01 - NALBUPHINE HCL (25X10ML) 10 MG/ML • 00409-1465-01 - NALBUPHINE HCL (AMP,LATEX-FREE) 20 MG/ML • 00409-1467-01 - NALBUPHINE HCL (VIAL,FLIPTOP) 20 MG/ML • 51927-2140-00 - NALBUPHINE HCL |
National average reimbursement for HCPCS J2300 by major payers:
$3.58
BCBS / Anthem
$3.74
UnitedHealthcare
$3.94
Aetna
$3.82
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J2300.
HCPCS J2300
5 of 25 sample ratesHigher to lower in this preview
North Shore Medical Center, Inc., North Shore Medical Center
$60.00Published rateNew York-Presbyterian/Lawrence Hospital
Lawrence Medical Associates PC
$5.53Published rateNewark Wayne Community Hospital
$3.60Published rateZuni Indian Hospital, Zuni Indian Health Service
$3.43Published rateWest Valley Medical Center Inc
$1.07Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J2300 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J2300. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 00409-1463-01-NDC | Moderate | NALBUPHINE HCL (AMP,LATEX-FREE) 10 MG/ML |
| 00409-1464-01-NDC | Moderate | NALBUPHINE HCL (25X10ML) 10 MG/ML |
| 00409-1465-01-NDC | Moderate | NALBUPHINE HCL (AMP,LATEX-FREE) 20 MG/ML |
| J2300-HCPCS | Low | Injection, nalbuphine hydrochloride, per 10 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2300 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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