What is Injection Eflapegrastim-xnst 0 1 Mg (HCPCS J1449)?

Injection, eflapegrastim-xnst, 0.1 mg. This clinical code is utilized across practices and hospitals for diagnostic and therapeutic service documentation.

What do doctors typically charge for Injection Eflapegrastim-xnst 0 1 Mg?

The nationwide median physician charge for Injection Eflapegrastim-xnst 0 1 Mg (HCPCS J1449) is $91.23. Doctor billed charges vary based on geographic region, setting, and overhead.

What is the standard insurance baseline for HCPCS J1449?

The standard insurance baseline reimbursement rate is $32.13. This represents the customary allowable amount established across standard fee schedules.

Home/Procedures/Injection Eflapegrastim-xnst 0 1 Mg

HCPCS J1449Medical Service

Injection Eflapegrastim-xnst 0 1 Mg

Injection, eflapegrastim-xnst, 0.1 mg. Clinical pricing breakdown and utilization metrics across 161 practicing doctors nationwide.

$91.23

Peer Median Charge

Gross billed rate

$32.13

Standard Baseline

Customary allowable

2.8x

National Markup

Charge vs baseline

161

Active Physicians

Billing this code

Planning care or already received a bill for CPT J1449?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

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Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $91.23. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $32.13 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 J1449 if paid upfront?"
"Are there separate facility, anesthesia, or pathology fees associated with this procedure?"