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See a sample rate comparisonHCPCS J2787 (Photrexa Cross Linking) Fee Schedule
Last Verified: October 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.
Riboflavin 5'-phosphate, ophthalmic solution (photrexa viscous/photrexa), up to 3 ml
| 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 J2787 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J2787 by major payers:
$1,958.96
$2,182.82
$2,204.49
$2,195.17
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HCPCS J2787
5 of 25 sample ratesHigher to lower in this preview
Cedars-Sinai Medical Center
Platinumcare La
$4,440.35Published rateEmma L. Bixby Medical Center
Emma L Bixby Medical Center
$2,782.69Published rateJohnston Memorial Hospital, Inc, Center For Sleep Disorders At Jmh
Johnston Memorial Hospital Inc
$2,137.25Published rateSummit Gupta
Capital Primary And Geriatric Care LLC
$2,137.25Published rateJames Cornwall
New York City Health And Hospitals Corporation
$1,412.71Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J2787 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2787 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 J2787 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 |
|---|---|---|
| J2786-HCPCS | Low | Injection, reslizumab, 1 mg |
| J2787-HCPCS | High | Riboflavin 5'-phosphate, ophthalmic solution (photrexa viscous/photrexa), up to 3 ml |
| J2788-HCPCS | Low | Injection, Rho D immune globulin, human, minidose, 50 micrograms (250 IU) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2787. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2787 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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