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HCPCS J2765 (Metoclopramide Hcl) 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, metoclopramide HCl, up to 10 mg
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Drugs, Administered by Injection

Common Place of Service

None

11 - Office

20 - Urgent Care Facility

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for J2765
Medicare Payment Limit
$1.085BuyandBill.com
WAC Price
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Related NDC Codes

• 00409-3414-11 - METOCLOPRAMIDE HCL SDV 5 MG/1 ML

• 00409-5255-15 - PREMIERPRO RX METOCLOPRAMIDE HCL SDV 5 MG/1 ML

• 00409-5255-25 - PREMIERPRO RX METOCLOPRAMIDE HCL (SDV,PF,LATEX-FREE) 5 MG/1 ML

• 00703-4502-04 - METOCLOPRAMIDE HYDROCHLORIDE (S.D.V.) 5 MG/ML

• 00703-4502-93 - METOCLOPRAMIDE NOVAPLUS SDV 5 MG/1 ML


National average reimbursement for HCPCS J2765 by major payers:

bcbs

$1.13

uhc

$1.15

aetna

$1.20

cigna

$1.07

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS J2765.

HCPCS J2765
5 of 25 sample ratesHigher to lower in this preview
  1. Shailaja Jamma Md PA

    TXGastroenterology PhysicianNPI 1609571546Tax ID 16-09571546

    $2.23Published rate
  2. Dhruv Mehta

    TXGastroenterology PhysicianNPI 1639572134Tax ID 74-1586031

    $1.37Published rate
  3. William Featherston

    Grayson County Health Clinic

    TXFamily Medicine PhysicianNPI 1669567723Tax ID 46-3230865

    $1.19Published rate
  4. Evette Kingcaid

    Villagemd Of Southeast Texas, PA

    TXFamily Medicine PhysicianNPI 1568540052Tax ID 81-3193170

    $1.16Published rate
  5. Argelia Woo-Telles

    Zaragosa Medical Center

    TXFamily Medicine PhysicianNPI 1548266216Tax ID 74-2996090

    $0.87Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS J2765 vs. Other Drugs, Administered by Injection Codes

The HCPCS J2765 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 J2765 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.

CodeComplexityDescription
00409-3414-11-NDCModerateMETOCLOPRAMIDE HCL SDV 5 MG/1 ML
00409-5255-15-NDCModeratePREMIERPRO RX METOCLOPRAMIDE HCL SDV 5 MG/1 ML
00409-5255-25-NDCModeratePREMIERPRO RX METOCLOPRAMIDE HCL (SDV,PF,LATEX-FREE) 5 MG/1 ML
J2765-HCPCSLowInjection, metoclopramide HCl, up to 10 mg

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2765. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J2765 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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