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See a sample rate comparisonHCPCS J2720 (Protamine Sulfate) 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, protamine sulfate, per 10 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 22 - On Campus Outpatient Hospital |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J2720 |
| Medicare Payment Limit | $1.745  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 63323-0229-05 - PROTAMINE SULFATE (S.D.V.) 10 MG/ML • 63323-0229-15 - NOVAPLUS PROTAMINE SULFATE (25X5ML,SDV,FLIPTOP,USP) 10 MG/ML • 63323-0229-30 - PROTAMINE SULFATE (S.D.V.) 10 MG/ML • 63323-0229-35 - NOVAPLUS PROTAMINE SULFATE (1X25ML,SDV,FLIPTOP,USP) 10 MG/ML |
National average reimbursement for HCPCS J2720 by major payers:
$1.22
$1.19
$1.27
$1.20
Compare published rates across providers.
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HCPCS J2720
5 of 25 sample ratesHigher to lower in this preview
Smsj Tucson Holdings LLC, St. Josephs Hospital
Ascension Arizona
$3.13Published rateDivine Savior Healthcare, Inc., Aspirus Divine Savior Hospital
Orthopaedic Centers Of Wisconsin, S.C.
$1.55Published rateChesapeake Hospital Authority, Chesapeake General Hospital
Bayview Physician Services , P.C.
$1.13Published rateHca Physician Services
$1.08Published rateHillsdale Community Health Center, Hillsdale Hospital
Hillsdale Community Health Center
$0.88Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J2720 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2720 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 J2720 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 |
|---|---|---|
| 63323-0229-05-NDC | Moderate | PROTAMINE SULFATE (S.D.V.) 10 MG/ML |
| 63323-0229-15-NDC | Moderate | NOVAPLUS PROTAMINE SULFATE (25X5ML,SDV,FLIPTOP,USP) 10 MG/ML |
| 63323-0229-30-NDC | Moderate | PROTAMINE SULFATE (S.D.V.) 10 MG/ML |
| J2720-HCPCS | Low | Injection, protamine sulfate, per 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 J2720. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2720 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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