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See a sample rate comparisonHCPCS J2543 (Piperacillin And Tazobactam) Fee Schedule
Last Verified: September 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, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J2543 |
| Medicare Payment Limit | $1.071  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00338-9632-24 - ZOSYN (24X50ML,SDC) 2 GM/50 ML-0.25 GM/50 ML • 00338-9636-24 - ZOSYN (24X50ML,SDC) 3 GM/50 ML-0.375 GM/50 ML • 00338-9638-12 - ZOSYN (12X100ML,SDC) 4 GM/100 ML-0.5 GM/100 ML • 00409-2999-14 - PIPERACILLIN AND TAZOBACTAM (PF,LYOPHILIZED) 12 GM-1.5 GM • 00409-3383-10 - PIPERACILLIN AND TAZOBACTAM SINGLE DOSE 2 GM-0.25 GM |
National average reimbursement for HCPCS J2543 by major payers:
$1.15
$1.31
$1.58
$1.26
Compare published rates across providers.
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HCPCS J2543
5 of 25 sample ratesHigher to lower in this preview
Variety Children'S Hospital, Nicklaus Children'S Miami Lakes Outpatient Center
Variety Childrens Hospital
$55.00Published rateUniversity Of Alabama At Birmingham
$2.32Published rateRan Schwarzkopf
New York City Health And Hospitals Corporation
$1.21Published rateNorthbay Healthcare Group, Northbay Healthcare Center For Primary Care
Northbay Healthcare Group
$1.13Published rateSt Francis Hospital, St Frances Pathology
St Francis Hospital
$1.09Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J2543 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2543 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 J2543 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 |
|---|---|---|
| 00338-9632-24-NDC | Moderate | ZOSYN (24X50ML,SDC) 2 GM/50 ML-0.25 GM/50 ML |
| 00338-9636-24-NDC | Moderate | ZOSYN (24X50ML,SDC) 3 GM/50 ML-0.375 GM/50 ML |
| 00338-9638-12-NDC | Moderate | ZOSYN (12X100ML,SDC) 4 GM/100 ML-0.5 GM/100 ML |
| J2543-HCPCS | Low | Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2543. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2543 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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