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See a sample rate comparisonHCPCS J2353 (Sandostatin Lar Depot) 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, octreotide, depot form for intramuscular injection, 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 | Moderate |
| Medicare Fee Schedule | $211.32 per 1 mg (October 2026 ASP) · View Medicare rates for J2353 |
| Medicaid Fee Schedule | $189.50 median of the 8 states in the free preview · View Medicaid rates for J2353 |
| Medicare Payment Limit | $203.583  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00078-0790-61 - SANDOSTATIN LAR DEPOT (INNER PACK) 10 MG • 00078-0797-61 - SANDOSTATIN LAR DEPOT (INNER PACK) 20 MG • 00078-0804-61 - SANDOSTATIN LAR DEPOT (INNER PACK) 30 MG • 00078-0811-81 - SANDOSTATIN LAR DEPOT (1 1/2"X19G) 10 MG • 00078-0818-81 - SANDOSTATIN LAR DEPOT (1 1/2"X19G) 20 MG |
National average reimbursement for HCPCS J2353 by major payers:
$224.61
$233.19
$237.61
$227.83
Compare published rates across providers.
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HCPCS J2353
5 of 25 sample ratesHigher to lower in this preview
Prisma Health-Upstate, Prisma Health Ob/Gyn Clinic
Prisma Health - Upstate
$469.50Published rateDoctors Hospital Inc
$325.33Published rateMercy Medical Center Of Oshkosh, Inc., Ascension Ne Wisconsin Mercy Hospital, Inc
$239.21Published rateLouisiana State University Health Sciences Center, Earl K Long Medical Center
Louisiana State University Health Sciences Center
$218.36Published rateRui Domingues
New York City Health And Hospitals Corporation
$144.33Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J2353 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2353 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 J2353 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 |
|---|---|---|
| 00078-0790-61-NDC | Moderate | SANDOSTATIN LAR DEPOT (INNER PACK) 10 MG |
| 00078-0797-61-NDC | Moderate | SANDOSTATIN LAR DEPOT (INNER PACK) 20 MG |
| 00078-0804-61-NDC | Moderate | SANDOSTATIN LAR DEPOT (INNER PACK) 30 MG |
| J2353-HCPCS | Moderate | Injection, octreotide, depot form for intramuscular injection, 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 J2353. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2353 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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