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See a sample rate comparisonHCPCS J1436 (Etidronate Disodium) Fee Schedule
Last Verified: September 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, etidronate disodium, per 300 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J1436 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J1436 by major payers:
$72.88
$82.03
$68.89
$83.86
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HCPCS J1436
5 of 25 sample ratesHigher to lower in this preview
Christina Boyd
$281.55Published rateSt. Charles Health System, Inc., St. Charles Redmond
St Charles Health System Inc
$80.83Published rateAlexander Tran Md PA
$80.83Published rateOroville Hospital
$80.83Published rateLong Island Community Hospital At NYU Langone Health, Long Island Community Hospital
Long Island Community Hospital At NYU Langone Health
$41.22Published rate
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See a sample payer proposalHCPCS J1436 vs. Other Drugs, Administered by Injection Codes
The HCPCS J1436 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 J1436 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 |
|---|---|---|
| J1435-HCPCS | Low | Injection, estrone, per 1 mg |
| J1436-HCPCS | Low | Injection, etidronate disodium, per 300 mg |
| J1437-HCPCS | Low | Injection, ferric derisomaltose, 10 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J1436. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J1436 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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