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See a sample rate comparisonHCPCS J3392 (Casgevy) Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Injection, exagamglogene autotemcel, per treatment
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for J3392 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J3392 by major payers:
$2,054,372.49
$2,290,750.00
$999,999.00
$N/A
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HCPCS J3392
5 of 12 sample ratesHigher to lower in this preview
University Medical Center Of Southern Nevada, University Medical Center
University Medical Center Of Southern Nevada
$2,640,000.00Published rateIhc Health Services, Inc., Intermountain Medical Center
Ihc Health Services Inc
$2,266,000.00Published rateLas Vegas Vamc
$2,266,000.00Published rateReno Vamc
$2,266,000.00Published rateWinchester Medical Center
Valley Health System
$22,660.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J3392 vs. Other Drugs, Administered by Injection Codes
The HCPCS J3392 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 J3392 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 |
|---|---|---|
| J3392-HCPCS | High | Injection, exagamglogene autotemcel, per treatment |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3392. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3392 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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