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See a sample rate comparisonHCPCS J2791 (Rhophylac) 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), (Rhophylac), intramuscular or intravenous, 100 IU
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 50 - Federally Qualified Health Center |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J2791 |
| Medicare Payment Limit | $4.855  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 44206-0300-01 - RHOPHYLAC (W/SAFETY NEEDLE) 750 IU/ML • 44206-0300-10 - RHOPHYLAC (W/SAFETY NEEDLE) 750 IU/ML |
National average reimbursement for HCPCS J2791 by major payers:
$5.67
$5.25
$5.81
$5.23
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HCPCS J2791
5 of 25 sample ratesHigher to lower in this preview
Rene Packard
$22.40Published rateOhiohealth Corporation, Doctors Hospital
Ohiohealth Corporation Grant Riverside Doctors Dublin Met
$5.19Published rateThorek Memorial Hospital
$4.88Published rateBbh Bmc, LLC, Brookwood Medical Center
$4.80Published rateSaint Francis Hospital Inc, Natalie Warren Ambulatory Surgery Center
Saint Francis Hospital Inc
$4.32Published rate
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See a sample payer proposalHCPCS J2791 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2791 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 J2791 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 |
|---|---|---|
| 44206-0300-01-NDC | Moderate | RHOPHYLAC (W/SAFETY NEEDLE) 750 IU/ML |
| 44206-0300-10-NDC | Moderate | RHOPHYLAC (W/SAFETY NEEDLE) 750 IU/ML |
| J2790-HCPCS | Low | Injection, Rho D immune globulin, human, full dose, 300 micrograms (1500 IU) |
| J2791-HCPCS | Low | Injection, Rho D immune globulin (human), (Rhophylac), intramuscular or intravenous, 100 IU |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2791. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2791 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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