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See a sample rate comparisonHCPCS J2327 (Skyrizi) Fee Schedule
Last Verified: October 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, risankizumab-rzaa, intravenous, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office |
| Complexity Level | Low |
| Medicare Fee Schedule | $14.01 per 1 mg (October 2026 ASP) · View Medicare rates for J2327 |
| Medicaid Fee Schedule | $14.53 median of the 8 states in the free preview · View Medicaid rates for J2327 |
| Medicare Payment Limit | $14.941  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00074-5015-01 - SKYRIZI 600MG/10ML (PF,LATEX-FREE) 60 MG/1 ML |
National average reimbursement for HCPCS J2327 by major payers:
$15.83
$15.09
$16.56
$15.54
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HCPCS J2327
5 of 25 sample ratesHigher to lower in this preview
Stephen Sibbitt
Scott & White Hospital
$28.86Published rateGautham Kandukuri
Lower Umpqua Hospital District
$15.35Published rateMichael Cleary
Mercy Clinic Gastroenterology LLC
$15.35Published rateMargarita Fallena
Rheumatology Associates, P. A.
$15.33Published rateMohammad Ghassemi
Mohammad Ghassemi Md PA
$14.25Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J2327 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2327 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 J2327 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 |
|---|---|---|
| 00074-5015-01-NDC | Moderate | SKYRIZI 600MG/10ML (PF,LATEX-FREE) 60 MG/1 ML |
| J2326-HCPCS | High | Injection, nusinersen, 0.1 mg |
| J2327-HCPCS | Low | Injection, risankizumab-rzaa, intravenous, 1 mg |
| J2329-HCPCS | Low | Injection, ublituximab-xiiy, 1mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2327. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2327 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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