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See a sample rate comparisonHCPCS J7180 (Corifact) 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 XIII (antihemophilic factor, human), 1 IU
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Clotting Factors |
| Common Place of Service | None 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7180 |
| Medicare Payment Limit | $10.756  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J7180 by major payers:
$10.78
$10.51
$11.12
$10.82
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HCPCS J7180
5 of 25 sample ratesHigher to lower in this preview
University Of California San Francisco Medical Center, Ucsf Medical Center
$27.10Published rateOss Orthopaedic Hospital, LLC, Oss Health
Oss Health
$10.47Published rateMarshall Medical Center
$10.47Published rateStephanie Harris
Bhupinder Singh, Md PA
$10.15Published rateWest Boca Medical Center, Inc., West Boca Medical Center
$10.14Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J7180 vs. Other Clotting Factors Codes
The HCPCS J7180 code is part of the Drugs Administered Other than Oral Method services used for Clotting Factors. 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 J7180 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 |
|---|---|---|
| J7179-HCPCS | Low | Injection, von willebrand factor (recombinant), (vonvendi), 1 i.u. vwf:rco |
| J7180-HCPCS | Low | Injection, factor XIII (antihemophilic factor, human), 1 IU |
| J7181-HCPCS | Low | Injection, factor XIII a-subunit, (recombinant), per IU |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7180. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7180 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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