Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS J3520 Fee Schedule
HCPCS J3520 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
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 |
| Complexity Level | Low |
| Medicaid Fee Schedule | $1.99 median of the 6 states in the free preview · 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
BCBS / Anthem
$1.52
UnitedHealthcare
$1.25
Aetna
$1.16
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J3520.
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
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS J3520 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J3520. Select one to see its fee schedule.
| 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS J3520) and we'll show you how you compare in 15 minutes or less.