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See a sample rate comparisonHCPCS J3032 (Vyepti) Fee Schedule
Last Verified: September 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, eptinezumab-jjmr, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J3032 |
| Medicare Payment Limit | $19.974  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 67386-0130-51 - VYEPTI 100 MG/1 ML |
National average reimbursement for HCPCS J3032 by major payers:
$20.83
$19.10
$20.56
$19.78
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HCPCS J3032
5 of 25 sample ratesHigher to lower in this preview
Magdy Tadros
Kelsey-Seybold Medical Group PLLC
$47.02Published rateHazem Machkhas
Hillcroft Medical Clinic Association
$19.14Published rateAngel Pulido
Neurohospitalist Of Mcallen PLLC
$18.65Published rateDrake Duckworth
$18.04Published rateChristopher Raio
St Francis Hospital
$15.69Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J3032 vs. Other Drugs, Administered by Injection Codes
The HCPCS J3032 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 J3032 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 |
|---|---|---|
| 67386-0130-51-NDC | Moderate | VYEPTI 100 MG/1 ML |
| J3031-HCPCS | Low | Injection, fremanezumab-vfrm, 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered) |
| J3032-HCPCS | Low | Injection, eptinezumab-jjmr, 1 mg |
| J3060-HCPCS | Low | Injection, taliglucerase alfa, 10 units |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3032. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3032 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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