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See a sample rate comparisonHCPCS J7175 (Coagadex) 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, factor x, (human), 1 i.u.
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 99 - Other POS None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7175 |
| Medicare Payment Limit | $9.775  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J7175 by major payers:
$9.70
$9.44
$9.96
$9.71
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HCPCS J7175
5 of 25 sample ratesHigher to lower in this preview
Allina Health System, Cambridge Medical Center
Allina Health System
$20.89Published rateYouyuan Xu
Promed Pathology LLC
$9.77Published rateTippah County Hospital, Tippah County Health Services1
Tippah County Hospital
$9.52Published rateMaui Memorial Medical Center
$9.47Published rateKaleida Health
$9.10Published rate
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See a sample payer proposalHCPCS J7175 vs. Other Drugs, Administered by Injection Codes
The HCPCS J7175 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 J7175 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 |
|---|---|---|
| J7170-HCPCS | Low | Injection, emicizumab-kxwh, 0.5 mg |
| J7175-HCPCS | Low | Injection, factor x, (human), 1 i.u. |
| J7177-HCPCS | Low | Injection, human fibrinogen concentrate (fibryga), 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7175. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7175 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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