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See a sample rate comparisonHCPCS J2916 (Ferrlecit) 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, sodium ferric gluconate complex in sucrose injection, 12.5 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J2916 |
| Medicare Payment Limit | $2.023  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00143-9298-10 - SODIUM FERRIC GLUCONATE COMPLEX SUCROSE NOVAPLUS (LATEX-FREE) 62.5 MG/5 ML • 00143-9570-10 - SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE (SDV) 62.5 MG/5 ML |
National average reimbursement for HCPCS J2916 by major payers:
$2.49
$2.42
$2.88
$2.49
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J2916.
HCPCS J2916
5 of 25 sample ratesHigher to lower in this preview
Lana Cameron
Bhs Physicians Network, Inc
$3.89Published rateHuayi Zhang
Bluebonnet Dermatology PLLC
$2.37Published rateDavid Powell
The Dermasurgery Center, LLC
$2.20Published rateSrilatha Kothandaraman
Arthritis Center Of Texas, P.A.
$2.12Published rateDonna Mcmyler
Gastroenterology Consultants Of San Antonio, P.A.
$2.10Published rate
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See a sample payer proposalHCPCS J2916 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2916 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 J2916 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 |
|---|---|---|
| 00143-9298-10-NDC | Moderate | SODIUM FERRIC GLUCONATE COMPLEX SUCROSE NOVAPLUS (LATEX-FREE) 62.5 MG/5 ML |
| 00143-9570-10-NDC | Moderate | SODIUM FERRIC GLUCONATE COMPLEX IN SUCROSE (SDV) 62.5 MG/5 ML |
| J2916-HCPCS | Low | Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2916. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2916 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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