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See a sample rate comparisonHCPCS J2725 (Protirelin) 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, protirelin, per 250 mcg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J2725 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 51927-3484-00 - PROTIRELIN |
National average reimbursement for HCPCS J2725 by major payers:
$26.71
$21.10
$23.06
$23.28
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HCPCS J2725
5 of 25 sample ratesHigher to lower in this preview
Mainehealth, Fchn Network
Mainehealth
$33.68Published rateIra Davenport Memorial Hospital, Inc.
Ira Davenport Memorial Hospital Inc
$21.78Published rateHighlands Hospital And Health Center, Highlands Hospital Emergency Dept Physicians
Highlands Hospital And Health Center
$20.54Published rateNew Nextcare Specialty Hospital Of Denver LLC, Colorado Acute Long Term Hospital
$20.54Published rateEugene Oswald
St Joseph Healthcare System Inc
$19.97Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J2725 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2725 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 J2725 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 |
|---|---|---|
| 51927-3484-00-NDC | Moderate | PROTIRELIN |
| J2724-HCPCS | Low | Injection, protein C concentrate, intravenous, human, 10 IU |
| J2725-HCPCS | Low | Injection, protirelin, per 250 mcg |
| J2730-HCPCS | Low | Injection, pralidoxime chloride, up to 1 gm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2725. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2725 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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