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See a sample rate comparisonHCPCS J0740 (Cidofovir) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, cidofovir, 375 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 99 - Other POS |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for J0740 |
| Medicare Payment Limit | $546.294  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J0740 by major payers:
$488.60
$561.36
$618.29
$573.80
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HCPCS J0740
5 of 25 sample ratesHigher to lower in this preview
Rosalyn Gamboa
Memorial Cardiopulmonary Group
$1,522.75Published rateLung And Chest Medical Associates
$544.72Published rateMontefiore New Rochelle Hospital, Montefiore New Rochelle Professional Billing
Montefiore New Rochelle Hospital
$319.17Published rateQhg Of Springdale Inc, Northwest Medical Center -- Bentonville
$301.10Published rateGonzales Healthcare Systems, Memorial Hospital
$120.44Published rate
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See a sample payer proposalHCPCS J0740 vs. Other Drugs, Administered by Injection Codes
The HCPCS J0740 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 J0740 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 |
|---|---|---|
| J0739-HCPCS | Low | Injection, cabotegravir, 1mg, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment for hiv) |
| J0740-HCPCS | Moderate | Injection, cidofovir, 375 mg |
| J0741-HCPCS | Low | Injection, cabotegravir and rilpivirine, 2mg/3mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J0740. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J0740 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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