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See a sample rate comparisonHCPCS J2919 (Methylprednisolone Sodium Succinate) 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, methylprednisolone sodium succinate, 5 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J2919 |
| Medicare Payment Limit | $0.21  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J2919 by major payers:
$0.17
$1.49
$52.18
$0.36
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HCPCS J2919
5 of 25 sample ratesHigher to lower in this preview
Zein Obagi
Regents Of The University Of California At Irvine
$3.20Published rateUniversity Hospitals Medical Group
University Hospitals Health System Inc
$0.43Published rateClear View Health And Wellness, LLC
Clear View Health And Wellness LLC
$0.31Published rateArion Care Solutions, LLC, Aba Clinic
Arion Care Solutions, LLC
$0.30Published rateDonna Medical Clinic, PLLC
Donna Medical Clinic, P.A.
$0.18Published rate
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See a sample payer proposalHCPCS J2919 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2919 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 J2919 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 |
|---|---|---|
| J2919-HCPCS | Low | Injection, methylprednisolone sodium succinate, 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 J2919. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2919 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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