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See a sample rate comparisonHCPCS J2472 (Pantoprazole Sodium Nacl (Baxter)) 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 sodium in sodium chloride (baxter), 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 J2472 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J2472 by major payers:
$7.83
$9.68
$9.04
$8.99
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HCPCS J2472
5 of 25 sample ratesHigher to lower in this preview
Rene Packard
$40.86Published rateEisenhower Medical Center, Eisenhower Desert Orthopedic Center
Eisenhower Medical Center
$9.27Published rateBaptist Memorial Hospital- Desoto
Baptist Memorial Medical Group Inc
$8.81Published rateDecatur Memorial Hospital
$8.81Published rateAdrielle El-Dyson Otoo
New York City Health And Hospitals Corporation
$6.90Published rate
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See a sample payer proposalHCPCS J2472 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2472 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 J2472 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 |
|---|---|---|
| J2472-HCPCS | Low | Injection, pantoprazole sodium in sodium chloride (baxter), 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 J2472. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2472 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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