J0129 — Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)

What the market charges

Across 2,190 negotiated rates, the middle 80% fall between $45 and $107, with a median of $62.

What Medicare pays

Medicare allowed an average of $42 for this code, across 13,105,162 services billed by 1,247 providers. At the median, the market charges 1.5 times what Medicare pays for this code.

Where this is billed, and what it costs there

The states billing J0129 most, by Medicare service volume, each compared against the national average of $42. Each links to the providers Mishe lists there.

  • Florida — 137 providers billed it, Medicare allowed $42 — level with the national average
  • Texas — 109 providers billed it, Medicare allowed $42 — level with the national average
  • North Carolina — 69 providers billed it, Medicare allowed $42 — level with the national average
  • California — 76 providers billed it, Medicare allowed $42 — level with the national average
  • Pennsylvania — 64 providers billed it, Medicare allowed $43 — 2% above the national average
  • South Carolina — 39 providers billed it, Medicare allowed $42 — level with the national average
  • Arizona — 32 providers billed it, Medicare allowed $42 — level with the national average
  • Virginia — 34 providers billed it, Medicare allowed $43 — 2% above the national average

Deploy this for your team

Every figure on this page came from published payer and Medicare data, assembled by Mishe. The same pricing, claim-editing and care-pathway intelligence runs underneath the plans Mishe operates.

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