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  4. /HCPCS J0652
HCPCS J0652

INJECTION, LEVOTHYROXINE SODIUM (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J0650, 10 MCG at Mid Columbia Medical Center

Dalles, OR

Pricing by billing methodology

Price type

All methodologies

$419

Aggregated across all available billing methodologies for this code.

Case rate

Not reported

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

Fee schedule

$502

Reflects negotiated fee schedule rates with commercial payers.

Per diem

Not reported

Reflects a negotiated per diem rate paid per day of care.

Percent of billed charges

$400

Reflects a negotiated percentage of total billed charges.

Other

$949

Reflects a payer-specific billing methodology not covered by the standard categories.

Last updated: May 13, 2026

Compare to other hospitals

See INJECTION, LEVOTHYROXINE SODIUM (HIKMA), NOT THERAPEUTICALLY EQUIVALENT TO J0650, 10 MCG pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.

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