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See a sample rate comparisonHCPCS J2760 (Phentolamine Mesylate) 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, phentolamine mesylate, up to 5 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None 22 - On Campus Outpatient Hospital |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for J2760 |
| Medicare Payment Limit | $432.022  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00143-9564-10 - PHENTOLAMINE MESYLATE (LYOPHILIZED) 5 MG • 38779-1502-00 - PHENTOLAMINE MESYLATE (U.S.P.) • 38779-1502-03 - PHENTOLAMINE MESYLATE (U.S.P.) • 38779-1502-06 - PHENTOLAMINE MESYLATE (U.S.P.) • 38779-1502-09 - PHENTOLAMINE MESYLATE (U.S.P.) |
National average reimbursement for HCPCS J2760 by major payers:
$368.67
$377.97
$403.86
$388.32
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J2760.
HCPCS J2760
5 of 25 sample ratesHigher to lower in this preview
Sutter Valley Hospitals, Sutter Health Sacramento Sierra Region
Sutter Valley Hospitals
$1,109.59Published rateFarah Piracha
North Shore-Lij Medical PC
$473.55Published rateTexas Spine And Joint Hospital, LLC, Baylor Scott & White Tx Spine & Joint Hos Sur Ctr
Texas Spine And Joint Hospital
$394.63Published rateNorth Kansas City Hospital
$367.11Published rateTuality Healthcare, Thc Based Physicians
Tuality Healthcare
$28.90Published rate
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See a sample payer proposalHCPCS J2760 vs. Other Drugs, Administered by Injection Codes
The HCPCS J2760 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 J2760 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 |
|---|---|---|
| 00143-9564-10-NDC | Moderate | PHENTOLAMINE MESYLATE (LYOPHILIZED) 5 MG |
| 38779-1502-00-NDC | Moderate | PHENTOLAMINE MESYLATE (U.S.P.) |
| 38779-1502-03-NDC | Moderate | PHENTOLAMINE MESYLATE (U.S.P.) |
| J2760-HCPCS | Moderate | Injection, phentolamine mesylate, up to 5 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J2760. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J2760 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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