RxDoctor Payments Data

HCPCS J2182

Injection, mepolizumab, 1 mg

$29.61Medicare-allowed amount per service, averaged across 1,684,156 services
Providers submitted
$71.41

Asking price, not received

Medicare allowed
$29.61

The fee schedule figure

Medicare paid
$23.52

Balance is patient coinsurance

Providers submitted an average of $71.41 for this code and Medicare allowed $29.612.4× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $23.52 (79%); the rest is the patient’s coinsurance and deductible.

Services
1,684,156

Medicare Part B, 2024

Beneficiaries
3,638
Providers billing it
199
Total allowed
$49,867,859

Services × allowed amount

What Medicare pays for HCPCS J2182

Across 1,684,156 services billed by 199 providers to 3,638 beneficiaries, Medicare allowed an average of $29.61 per service. That is 462.9 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

This is a drug or supply code rather than a service. The unit is usually a dose or a milligram, so the per-service figure is small by construction and the total is what carries meaning — read it alongside the service count rather than on its own.

Who bills J2182

SpecialtyServicesBeneficiariesAvg allowedProviders
Nurse Practitioner556,1401,473$29.8380
Allergy/ Immunology435,365661$29.0341
Pulmonary Disease343,331806$29.7238
Hematology-Oncology84,718188$29.9413
Internal Medicine84,300184$29.8710
Family Practice36,90089$29.484
Infectious Disease33,30031$29.981
Physician Assistant20,60141$29.983
Rheumatology18,90025$29.982
Gastroenterology16,10019$29.981
Neurology16,00020$29.971
Vascular Surgery15,00022$30.001
Anesthesiology12,60012$29.801
Pediatric Medicine6,60028$29.981
Pharmacy2,70128$29.951

J2182 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

StateServicesAllowedStandardized pmtProviders
Florida255,841$29.94$23.8430
Virginia175,109$29.98$23.8021
California173,350$27.96$22.2716
Texas170,002$29.73$23.6923
South Carolina123,500$29.87$23.8217
Arizona120,200$29.66$23.5710
Tennessee75,905$29.92$23.829
Pennsylvania68,218$29.93$23.797
New York56,402$29.96$23.864
Mississippi53,200$28.96$24.064
Nebraska50,402$29.99$23.8012
Indiana43,400$29.86$23.831
North Carolina42,708$29.99$23.875
Maryland39,218$29.82$23.697
Ohio35,600$29.98$23.813
Georgia22,200$29.79$23.872
Kansas19,000$29.83$23.665
West Virginia17,501$29.98$23.801
Massachusetts16,100$29.98$23.772
Wisconsin16,100$29.98$23.821
New Jersey13,600$29.11$23.102
Illinois13,000$29.98$23.862
Arkansas12,700$29.98$23.832
Alabama12,600$29.59$23.693
Colorado12,600$29.80$23.891
Nevada11,200$29.72$23.682
Missouri10,600$29.99$23.813
Kentucky8,100$22.21$17.681
Louisiana7,000$29.99$23.861
Washington5,000$29.98$23.791
New Mexico3,800$29.99$23.731

Related codes

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.