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See a sample rate comparisonHCPCS J3101 (Tnkase) 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, tenecteplase, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 21 - Inpatient Hospital 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J3101 |
| Medicare Payment Limit | $172.221  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J3101 by major payers:
$158.07
$164.56
$168.30
$167.12
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HCPCS J3101
5 of 25 sample ratesHigher to lower in this preview
Cleveland County Healthcare System, Kings Mountain Hospital
$385.79Published rateWellmont Health System, Lonesome Pine Hospital
Wellmont Health System
$192.11Published rateRan Schwarzkopf
New York City Health And Hospitals Corporation
$167.17Published rateBon Secours Memorial Regional Medical Center LLC, Bon Secours Memorial Regional Pro Fee Sevices
Bon Secours Memorial Regional Medical Center LLC
$162.42Published rateHca Physician Services
Hca Physician Services, Inc.
$147.80Published rate
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See a sample payer proposalHCPCS J3101 vs. Other Drugs, Administered by Injection Codes
The HCPCS J3101 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 J3101 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 |
|---|---|---|
| J3095-HCPCS | Low | Injection, telavancin, 10 mg |
| J3101-HCPCS | Low | Injection, tenecteplase, 1 mg |
| J3105-HCPCS | Low | Injection, terbutaline sulfate, up to 1 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3101. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3101 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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