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See a sample rate comparisonHCPCS J2300 (Nalbuphine Hcl) 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, 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 None 20 - Urgent Care Facility |
| Complexity Level | Low |
| Medicaid Fee Schedule | 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
$3.74
$3.94
$3.82
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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 HCPCS J2300 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 J2300 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 |
|---|---|---|
| 00409-1463-01-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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