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See a sample rate comparisonHCPCS J3470 (Amphadase) 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, hyaluronidase, up to 150 units
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office 24 - Ambulatory Surgical Center |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J3470 |
| Medicare Payment Limit | $32.218  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00548-9090-10 - AMPHADASE 150 U/1 ML |
National average reimbursement for HCPCS J3470 by major payers:
$54.15
$56.72
$58.48
$47.30
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HCPCS J3470
5 of 25 sample ratesHigher to lower in this preview
Mainehealth, Mainehealth Pharmacy Maine Medical Center Biddeford
Mainehealth
$91.45Published rateThe Dch Healthcare Authority, Northport Medical Center
The Dch Health Care Authority
$55.79Published ratePalo Pinto County Hospital District, Palo Pinto General Hospital
$55.79Published rateOttawa Regional Hospital & Healthcare Center, Osf Saint Elizabeth Medical Center
Osf Multi-Specialty Group
$30.37Published rateAdam Iwanski
The Polyclinic, PLLC
$30.06Published rate
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See a sample payer proposalHCPCS J3470 vs. Other Drugs, Administered by Injection Codes
The HCPCS J3470 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 J3470 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 |
|---|---|---|
| 00548-9090-10-NDC | Moderate | AMPHADASE 150 U/1 ML |
| J3465-HCPCS | Low | Injection, voriconazole, 10 mg |
| J3470-HCPCS | Low | Injection, hyaluronidase, up to 150 units |
| J3471-HCPCS | Low | Injection, hyaluronidase, ovine, preservative free, per 1 USP unit (up to 999 USP units) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3470. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3470 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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