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See a sample rate comparisonHCPCS J2720 (Protamine Sulfate) Fee Schedule
Medicare rates as of October 2026
HCPCS J2720 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
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 | 11 - Office 22 - On Campus Outpatient Hospital |
| Complexity Level | Low |
| Medicare Fee Schedule | $1.79 per 10 mg (October 2026 ASP) · View Medicare rates for J2720 |
| Medicaid Fee Schedule | $1.71 median of the 8 states in the free preview · 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
BCBS / Anthem
$1.19
UnitedHealthcare
$1.27
Aetna
$1.20
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J2720.
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 table lists codes related to J2720. Select one to see its fee schedule.
| 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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