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See a sample rate comparisonHCPCS J2550 (Phenergan) Fee Schedule
Medicare rates as of October 2026
HCPCS J2550 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
Injection, promethazine HCl, up to 50 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Complexity Level | Low |
| Medicare Fee Schedule | $3.24 per up to 50 mg (October 2026 ASP) · View Medicare rates for J2550 |
| Medicaid Fee Schedule | $3.41 median of the 8 states in the free preview · View Medicaid rates for J2550 |
| Medicare Payment Limit | $2.952  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00641-0928-21 - PROMETHAZINE HCL (DOSETTE,VIAL) 25 MG/ML • 00641-0928-25 - PROMETHAZINE HCL (DOSETTE,VIAL) 25 MG/1 ML • 00641-0929-21 - PROMETHAZINE HCL (DOSETTE,VIAL) 50 MG/ML • 00641-0929-25 - PROMETHAZINE HCL (DOSETTE,VIAL) 50 MG/ML • 00641-0948-31 - PROMETHAZINE HCL NOVAPLUS (AMP,DOSETTE) 25 MG/ML |
National average reimbursement for HCPCS J2550 by major payers:
$2.77
BCBS / Anthem
$3.59
UnitedHealthcare
$3.76
Aetna
$3.51
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J2550.
HCPCS J2550
5 of 25 sample ratesHigher to lower in this preview
Greater Dallas Healthcare Enterprises
$5.97Published rateChuang Xu
Memorial Hermann Medical Group
$3.59Published rateCari Sorrell
Lubbock Digestive Disease
$3.46Published rateStephen B. Trammell, Do, PA
Stephen B Trammell Do PA
$3.30Published rateGayatri Nair
Austin Infectious Disease Consultants, P.A.
$3.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J2550 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J2550. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 00641-0928-21-NDC | Moderate | PROMETHAZINE HCL (DOSETTE,VIAL) 25 MG/ML |
| 00641-0928-25-NDC | Moderate | PROMETHAZINE HCL (DOSETTE,VIAL) 25 MG/1 ML |
| 00641-0929-21-NDC | Moderate | PROMETHAZINE HCL (DOSETTE,VIAL) 50 MG/ML |
| J2550-HCPCS | Low | Injection, promethazine HCl, up to 50 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2550. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2550 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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