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See a sample rate comparisonHCPCS J7514 (Myhibbin) 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.
Mycophenolate mofetil (myhibbin), oral suspension, 100 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Immunosuppressive Drugs |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7514 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J7514 by major payers:
$2.24
$2.24
$2.42
$2.62
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HCPCS J7514
5 of 25 sample ratesHigher to lower in this preview
Geisinger Bloomsburg Hospital, The Bloomsburg Hospital
Geisinger Clinic
$4.11Published rateNew York City Health And Hospitals Corporation, North Central Bronx Hospital
New York City Health And Hospitals Corporation
$2.25Published rateWilbarger County Hospital District, Wilbarger General Hospital
Wilbarger General Hospital Employee Benefit Plan
$2.25Published ratePunxsutawney Area Hospital Inc
$2.25Published rateSiripanth Nippita
New York City Health And Hospitals Corporation
$1.75Published rate
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See a sample payer proposalHCPCS J7514 vs. Other Immunosuppressive Drugs Codes
The HCPCS J7514 code is part of the Drugs Administered Other than Oral Method services used for Immunosuppressive Drugs. 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 J7514 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 |
|---|---|---|
| J7514-HCPCS | Low | Mycophenolate mofetil (myhibbin), oral suspension, 100 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7514. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7514 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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