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See a sample rate comparisonHCPCS J3380 (Entyvio) 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, vedolizumab, intravenous, 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J3380 |
| Medicare Payment Limit | $21.311  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 64764-0300-20 - ENTYVIO (SDV,PF,LYOPHILIZED) 300 MG |
National average reimbursement for HCPCS J3380 by major payers:
$24.93
$23.13
$25.48
$23.77
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HCPCS J3380
5 of 25 sample ratesHigher to lower in this preview
Joseph Frager
Montefiore Medical Center
$60.75Published ratePhilip Adler
Caremount Medical, P.C.
$23.15Published rateRichard Kelly
Crockett Clinic LLP
$22.87Published rateCesar Garcia
El Paso County Hospital District
$22.26Published rateTaralee Adams
Vmd Primary Providers South Hill Country Texas PLLC
$20.40Published rate
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See a sample payer proposalHCPCS J3380 vs. Other Drugs, Administered by Injection Codes
The HCPCS J3380 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 J3380 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 |
|---|---|---|
| 64764-0300-20-NDC | Moderate | ENTYVIO (SDV,PF,LYOPHILIZED) 300 MG |
| J3380-HCPCS | Low | Injection, vedolizumab, intravenous, 1 mg |
| J3385-HCPCS | Moderate | Injection, velaglucerase alfa, 100 units |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3380. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3380 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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