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See a sample rate comparisonHCPCS J2690 (Procainamide Hcl) 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, procainamide HCl, up to 1 gm
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for J2690 |
| Medicare Payment Limit | $294.691  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00409-1902-01 - PROCAINAMIDE HYDROCHLORIDE (25X10ML,FTV) 100 MG/ML • 25021-0322-10 - PROCAINAMIDE HCL 10X10ML,USP,MDV 100 MG/1 ML • 51927-3115-00 - PROCAINAMIDE HCL (U.S.P.) • 76329-3399-05 - PROCAINAMIDE HCL (LUER-JET, LUER-LOCK) 100 MG/1 ML |
National average reimbursement for HCPCS J2690 by major payers:
$357.77
$528.72
$536.68
$560.36
Compare published rates across providers.
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HCPCS J2690
5 of 25 sample ratesHigher to lower in this preview
Fairview Health Services, Fairview Ridges Hospital
Fairview Clinics
$989.91Published rateNew York University Langone Medical Center
New York University
$578.83Published ratePerson Memorial Hospital
Pmh Legacy
$412.73Published rateIntermountain Front Range, Inc.
Scl Health - Front Range Inc
$183.02Published rateSutter Bay Hospitals, Sutter West Bay Hospitals
Sutter Bay Hospitals
$11.02Published rate
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See a sample payer proposalHCPCS J2690 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2690 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 J2690 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 |
|---|---|---|
| 00409-1902-01-NDC | Moderate | PROCAINAMIDE HYDROCHLORIDE (25X10ML,FTV) 100 MG/ML |
| 25021-0322-10-NDC | Moderate | PROCAINAMIDE HCL 10X10ML,USP,MDV 100 MG/1 ML |
| 51927-3115-00-NDC | Moderate | PROCAINAMIDE HCL (U.S.P.) |
| J2690-HCPCS | Moderate | Injection, procainamide HCl, up to 1 gm |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2690. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2690 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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