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See a sample rate comparisonHCPCS J3471 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, ovine, preservative free, per 1 USP unit (up to 999 USP units)
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | None 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J3471 |
National average reimbursement for HCPCS J3471 by major payers:
$0.53
$0.53
$0.53
$0.54
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HCPCS J3471
5 of 25 sample ratesHigher to lower in this preview
Geisinger Bloomsburg Hospital, The Bloomsburg Hospital
Family Health Associates Of Geisinger Lewistown Hospital
$0.94Published rateRobinson Memorial Hospital
$0.51Published rateHays Medical Center Inc
$0.51Published rateMountain View Hospital LLC
$0.51Published rateFairmont General Hospital, Inc.
$0.31Published rate
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See a sample payer proposalHCPCS J3471 vs. Other Drugs, Administered by Injection Codes
The HCPCS J3471 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 J3471 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 |
|---|---|---|
| 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) |
| J3472-HCPCS | Low | Injection, hyaluronidase, ovine, preservative free, per 1000 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 J3471. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3471 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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