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See a sample rate comparisonHCPCS J7040 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Complexity Level | Low |
| Medicare Fee Schedule | $1.39 per billing unit (October 2026 ASP) · View Medicare rates for J7040 |
| Medicaid Fee Schedule | $1.35 median of the 8 states in the free preview · View Medicaid rates for J7040 |
| Medicare Payment Limit | |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00264580200 - Sodium Chloride 0.9 g/100mL, injection, solution • 00264580210 - Sodium Chloride 0.9 g/100mL, injection, solution • 00264780000 - Sodium Chloride 0.9 g/100mL, injection, solution • 00264780009 - Sodium Chloride 0.9 g/100mL, injection, solution • 00264780010 - Sodium Chloride 0.9 g/100mL, injection, solution |
National average reimbursement for HCPCS J7040 by major payers:

$2.09
BCBS / Anthem

$1.66
UnitedHealthcare

$1.70
Aetna

$1.47
Cigna
Choose a payer to see a sample of rates for HCPCS J7040.
Cedars-Sinai Medical Center
Dayal Raja
Slocum Dickson Medical Group PLLC
Sandra Law
Stephanie Higby
Slocum Dickson Medical Group PLLC
Saint Francis Hospital Inc, Diagnostic Imaging Center
Saint Francis Hospital Inc
Choose your state and specialty to build a report from payer-published rates.
Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS J7040 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J7040. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 00264580200-NDC | Moderate | Sodium Chloride 0.9 g/100mL, injection, solution |
| 00264580210-NDC | Moderate | Sodium Chloride 0.9 g/100mL, injection, solution |
| 00264780000-NDC | Moderate | Sodium Chloride 0.9 g/100mL, injection, solution |
| J7040-HCPCS | Low | Infusion, normal saline solution, sterile (500 ml=1 unit) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7040. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7040 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
Bring your top codes (like HCPCS J7040) and we'll show you how you compare in 15 minutes or less.