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See a sample rate comparisonHCPCS J3520 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.
Edetate disodium, per 150 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J3520 |
| Related NDC Codes | • 00406-1395-04 - EDETATE DISODIUM (U.S.P.) • 10106-8994-01 - EDETATE DISODIUM (U.S.P.) • 51552-0588-06 - EDETATE DISODIUM (U.S.P.) • 51927-1317-00 - EDETATE DISODIUM (USP; DIHYDRATE) • 62991-2026-02 - EDETATE DISODIUM (U.S.P./N.F.) |
National average reimbursement for HCPCS J3520 by major payers:
$5.41
$1.52
$1.25
$1.16
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HCPCS J3520
5 of 25 sample ratesHigher to lower in this preview
Hyun Ah Yoon
Montefiore Medical Center
$4.36Published rateFlushing Hospital & Medical Center
$1.49Published rateAdventist Health Delano, Wasco Medical Plaza
Adventist Health Delano
$1.49Published rateDiana Sabirova
$1.48Published rateSoutheastern Regional Medical Center, Unc Health Southeastern
Southeastern Regional Medical Center
$0.54Published rate
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See a sample payer proposalHCPCS J3520 vs. Other Drugs, Administered by Injection Codes
The HCPCS J3520 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 J3520 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 |
|---|---|---|
| 00406-1395-04-NDC | Moderate | EDETATE DISODIUM (U.S.P.) |
| 10106-8994-01-NDC | Moderate | EDETATE DISODIUM (U.S.P.) |
| 51552-0588-06-NDC | Moderate | EDETATE DISODIUM (U.S.P.) |
| J3520-HCPCS | Low | Edetate disodium, per 150 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3520. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3520 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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