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See a sample rate comparisonHCPCS J3472 (Hyaluronidase) Fee Schedule
HCPCS J3472 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
Injection, hyaluronidase, ovine, preservative free, per 1000 USP units
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | $137.80 median of the 8 states in the free preview · View Medicaid rates for J3472 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J3472 by major payers:
$93.45
BCBS / Anthem
$336.45
UnitedHealthcare
$138.03
Aetna
$147.57
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J3472.
HCPCS J3472
5 of 25 sample ratesHigher to lower in this preview
University Of California, San Francisco, Ucsf Medical Center
$606.09Published rateMcbride Clinic Orthopedic Hospital, LLC
Mcbride Orthopedic Hospital
$360.26Published rateGlendale Adventist Medical Center, Adventist Health Glendale
Glendale Adventist Medical Center
$332.95Published rateLodi Memorial Hospital Association Inc, Lodi Memorial Hospital
Lodi Memorial Hospital Association Inc
$332.95Published rateNorthside Hospital, Inc., Northside Hospital Duluth
Northside Hospital Inc
$296.26Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J3472 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J3472. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 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 |
| J3473-HCPCS | Low | Injection, hyaluronidase, recombinant, 1 USP unit |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3472. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3472 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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