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See a sample rate comparisonHCPCS J2471 (Pantoprazole Sodium) 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, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J2471 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J2471 by major payers:
$3.53
$4.21
$3.59
$3.58
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HCPCS J2471
5 of 25 sample ratesHigher to lower in this preview
St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde, St. Joseph'S Hospital
St Josephs Hosp Of The Hosp Sisters Of The 3rd Order Of St Francis
$12.86Published rateNassau Health Care Corporation, Nassau University Medical Center
$7.09Published rateHenderson County Hospital Corporation, Margaret R. Pardee Memorial Hospital
$6.69Published rateSouthern Health Corp Of Houston, Inc., Trace Regional Hospital
Southern Health Corp Of Houston Inc
$6.69Published rateMonument Health Rapid City Hospital. Inc., Monument Health Rapid City Clinic, 5th Street
Monument Health Rapid City Hospital Inc
$6.69Published rate
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See a sample payer proposalHCPCS J2471 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2471 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 J2471 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 |
|---|---|---|
| J2471-HCPCS | Low | Injection, pantoprazole (hikma), not therapeutically equivalent to j2470, 40 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2471. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2471 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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