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See a sample rate comparisonHCPCS J3473 (Hylenex) Fee Schedule
Medicare rates as of October 2026
HCPCS J3473 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
Injection, hyaluronidase, recombinant, 1 USP unit
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Complexity Level | Low |
| Medicare Fee Schedule | $0.364 per billing unit (October 2026 ASP) · View Medicare rates for J3473 |
| Medicaid Fee Schedule | $0.36 median of the 8 states in the free preview · View Medicaid rates for J3473 |
| Medicare Payment Limit | $0.362  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 18657-0117-04 - HYLENEX (4X1ML,SDV) 150 U/ML |
National average reimbursement for HCPCS J3473 by major payers:
$0.39
BCBS / Anthem
$0.39
UnitedHealthcare
$0.41
Aetna
$0.40
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J3473.
HCPCS J3473
5 of 25 sample ratesHigher to lower in this preview
Ohiohealth Corporation, Doctors Hospital
Ohiohealth Corporation Grant Riverside Doctors Dublin Met
$0.50Published rateEmad Hanna
Physician Affiliate Group Of New York PC
$0.38Published rateMount St. Mary'S Hospital Of Niagara Falls
Mount St Marys Hospital Of Niagara Falls
$0.37Published rateSt Joseph Regional Health Center, St Joseph Ambulatory Surgery
St Joseph Regional Health Center
$0.36Published rateSvetlana Grinblat
New York City Health And Hospitals Corporation
$0.28Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J3473 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J3473. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 18657-0117-04-NDC | Moderate | HYLENEX (4X1ML,SDV) 150 U/ML |
| J3472-HCPCS | Low | Injection, hyaluronidase, ovine, preservative free, per 1000 USP units |
| J3473-HCPCS | Low | Injection, hyaluronidase, recombinant, 1 USP unit |
| J3475-HCPCS | Low | Injection, magnesium sulfate, per 500 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3473. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3473 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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