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See a sample rate comparisonHCPCS J7519 (Cellcept Iv) 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, mycophenolate mofetil, 10 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Immunosuppressive Drugs |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7519 |
| Medicare Payment Limit | $0.361  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J7519 by major payers:
$0.31
$0.46
$1.48
$0.43
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HCPCS J7519
5 of 25 sample ratesHigher to lower in this preview
Alegent Health Bergan Mercy Health System, Chi Health Creighton University Medical Center-Bergan Mercy
Alegent Health - Bergan Mercy Health System
$2.02Published rateMainegeneral Medical Center, Mainegeneral Primary Care
Mainegeneral Health
$0.58Published rateNiagara Falls Memorial Hospital
Niagara Falls Memorial Medical Center
$0.51Published rateClinica Sierra Vista, South Bakersfield Community Health Center - Medical Group Hospital Npi
Clinica Sierra Vista
$0.40Published rateThe Unity Hospital Of Rochester, Park Ridge Hospital
The Unity Hospital Of Rochester
$0.40Published rate
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See a sample payer proposalHCPCS J7519 vs. Other Immunosuppressive Drugs Codes
The HCPCS J7519 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 J7519 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 |
|---|---|---|
| J7519-HCPCS | Low | Injection, mycophenolate mofetil, 10 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7519. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7519 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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