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See a sample rate comparisonHCPCS J3105 (Terbutaline Sulfate) 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, terbutaline sulfate, up to 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 41 - Ambulance - Land |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J3105 |
| Medicare Payment Limit | $7.391  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00143-9375-10 - TERBUTALINE SULFATE NOVAPLUS (10X1ML;SDV;USP) 1 MG/1 ML • 59923-0615-05 - TERBUTALINE SULFATE SDV 1 MG/1 ML • 63323-0665-01 - TERBUTALINE SULFATE 1 MG/ML |
National average reimbursement for HCPCS J3105 by major payers:
$2.94
$2.77
$3.26
$2.76
Compare published rates across providers.
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HCPCS J3105
5 of 25 sample ratesHigher to lower in this preview
University Of California San Francisco Medical Center, Ucsf Medical Center
$20.17Published rateFairview Health Services, Fairview Diagnostic Laboratory
Fairview Health Services
$3.88Published rateNewark Wayne Community Hospital, Newark Wayne Comm - Prof
Newark Wayne Community Hospital
$2.41Published rateNorton, The Bethany Circle Of King'S Daughters' Health Of Madison, Indiana, In
Norton - Kings Daughters Health Inc
$2.14Published rateWajeeha Saeed
New York City Health And Hospitals Corporation
$1.77Published rate
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See a sample payer proposalHCPCS J3105 vs. Other Drugs, Administered by Injection Codes
The HCPCS J3105 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 J3105 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 |
|---|---|---|
| 00143-9375-10-NDC | Moderate | TERBUTALINE SULFATE NOVAPLUS (10X1ML;SDV;USP) 1 MG/1 ML |
| 59923-0615-05-NDC | Moderate | TERBUTALINE SULFATE SDV 1 MG/1 ML |
| 63323-0665-01-NDC | Moderate | TERBUTALINE SULFATE 1 MG/ML |
| 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 J3105. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3105 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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