Wiki Pricing for J Codes?

Kristabelle

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Background Info:
I am a student of coding and billing and a medical office assistant.

My provider asked that I find the prices usually charged for:
J1020
J1030
J1040
J1070
J1080

And trigger point injections:
20552
20553

I have the medicare part B ASP for each NDC. What I really need to know is how much does a medical office charge for each of these services OR
How can I find out what is usually charged for these services?

Any help is much appreciated!
 
Your j-codes need to come from either Medicare website or your inventory invoice.

You can find a starting price for your CPT codes from your MCR Mac website to start.
 
One standard pricing formula I have heard about is charging 150% of the Medicare limiting charge for CPT codes. I don't remember where I first heard of this formula--sorry I can't cite a source for you!
 
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