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See a sample rate comparisonHCPCS J0207 (Ethyol) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, amifostine, 500 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None 22 - On Campus Outpatient Hospital 99 - Other POS |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for J0207 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J0207 by major payers:
$1,033.36
$1,157.06
$1,126.00
$1,157.77
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HCPCS J0207
5 of 25 sample ratesHigher to lower in this preview
Memorial Hospital, Albany, N.Y.
Samaritan Hospital
$1,478.76Published rateHunterdon Medical Center
$1,199.56Published rateSeacoast Surgery
York Hospital
$1,103.55Published rateMidstate Medical Center
$1,103.55Published rateRui Domingues
New York City Health And Hospitals Corporation
$729.45Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J0207 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0207 code is part of the Drugs Administered Other than Oral Method services used for Drugs, Administered by Injection. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS J0207 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| J0206-HCPCS | Low | Injection, allopurinol sodium, 1 mg |
| J0207-HCPCS | High | Injection, amifostine, 500 mg |
| J0208-HCPCS | Low | Injection, sodium thiosulfate (pedmark), 100 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0207. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0207 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.
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