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See a sample rate comparisonHCPCS J2788 (Hyperrho S D) 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, Rho D immune globulin, human, minidose, 50 micrograms (250 IU)
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None 24 - Ambulatory Surgical Center |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J2788 |
| Medicare Payment Limit | $25.591  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 13533-0661-06 - HYPERRHO S/D (MINI-DOSE,SD,PF) |
National average reimbursement for HCPCS J2788 by major payers:
$25.04
$26.29
$27.42
$25.84
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HCPCS J2788
5 of 25 sample ratesHigher to lower in this preview
Christina Boyd
$209.88Published rateSlh Vista, Inc., Saint Louis University Hospital
Slh Vista, Inc.
$29.22Published rateGenesis Health System, Genesis Medical Center Davenport
Genesis Health System
$24.55Published rateJ C Blair Memorial Hospital, Penn Highlands Huntingdon
J C Blair Memorial Hospital
$24.04Published rateMercy Health-St Ritas Medical Center LLC, Mercy Health-St Rita'S Medical Center
$14.22Published rate
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See a sample payer proposalHCPCS J2788 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2788 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 J2788 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 |
|---|---|---|
| 13533-0661-06-NDC | Moderate | HYPERRHO S/D (MINI-DOSE,SD,PF) |
| 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) |
| J2790-HCPCS | Low | Injection, Rho D immune globulin, human, full dose, 300 micrograms (1500 IU) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2788. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2788 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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