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See a sample rate comparisonHCPCS J2507 (Krystexxa) Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, pegloticase, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for J2507 |
| Medicare Payment Limit | $3660.834  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 75987-0080-10 - KRYSTEXXA (LATEX-FREE) 8 MG/1 ML |
National average reimbursement for HCPCS J2507 by major payers:
$3,545.98
$3,566.51
$3,706.26
$3,679.44
Compare published rates across providers.
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HCPCS J2507
5 of 25 sample ratesHigher to lower in this preview
Jim George
Healthtexas Provider Network
$6,512.47Published rateSpencer Duncan
Newton Healthcare Corporation
$3,447.06Published rateFredelito Tiu
Arizona Community Physicians, P.C.
$3,391.90Published rateTrevor Bond
Labette County Medical Center
$3,391.90Published rateChristian Okpalo
Corpus Christi Hospitalists PLLC
$2,696.86Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J2507 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2507 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 J2507 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 |
|---|---|---|
| 75987-0080-10-NDC | Moderate | KRYSTEXXA (LATEX-FREE) 8 MG/1 ML |
| J2506-HCPCS | Low | Injection, pegfilgrastim, excludes biosimilar, 0.5 mg |
| J2507-HCPCS | High | Injection, pegloticase, 1 mg |
| J2510-HCPCS | Low | Injection, penicillin G procaine, aqueous, up to 600, 000 units |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2507. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2507 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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