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See a sample rate comparisonHCPCS J2850 (Chirhostim) 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, secretin, synthetic, human, 1 microgram
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 24 - Ambulatory Surgical Center |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J2850 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J2850 by major payers:
$37.36
$41.00
$35.22
$35.62
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HCPCS J2850
5 of 25 sample ratesHigher to lower in this preview
Andreas Rimner
$71.48Published rateAurora Health Care North, Inc., Aurora Medical Center Manitowoc
Aurora Health Care Inc
$42.56Published rateCatholic Medical Center
$40.56Published rateCitrus Memorial Health Foundation Inc, Citrus Memorial Health System
$40.56Published rateMercy Health, Harness Health Pharmacy
Mercy Health - Tiffin Hospital LLC
$26.36Published rate
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See a sample payer proposalHCPCS J2850 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2850 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 J2850 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 |
|---|---|---|
| J2840-HCPCS | Moderate | Injection, sebelipase alfa, 1 mg |
| J2850-HCPCS | Low | Injection, secretin, synthetic, human, 1 microgram |
| J2860-HCPCS | Low | Injection, siltuximab, 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 J2850. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2850 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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