What is Injection Vutrisiran 1 Mg (HCPCS J0225)?

Injection, vutrisiran, 1 mg. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

What do doctors typically charge for Injection Vutrisiran 1 Mg?

The nationwide median physician charge for Injection Vutrisiran 1 Mg (HCPCS J0225) is $5382.64. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS J0225?

The standard insurance baseline reimbursement rate is $3867.62. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Injection Vutrisiran 1 Mg

HCPCS J0225Medical Service

Injection Vutrisiran 1 Mg

Injection, vutrisiran, 1 mg. Clinical pricing breakdown and utilization metrics across 1 practicing doctors nationwide.

$5382.64

Peer Median Charge

Gross billed rate

$3867.62

Standard Baseline

Customary allowable

1.4x

National Markup

Charge vs baseline

Active Physicians

Billing this code

Planning care or already received a bill for CPT J0225?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Calculate Bundled Cost →Dispute an Inflated Bill 🧾

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $5382.64. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $3867.62 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:

"Does Dr. [Name] participate in my specific insurance plan network?"
"What is the total self-pay or cash rate for code J0225 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"