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See a sample rate comparisonHCPCS J3535 Fee Schedule
HCPCS J3535 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
Drug administered through a metered dose inhaler
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Drugs, Administered by Injection |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Complexity Level | Low |
| Related NDC Codes | • 54868-5511-00 - IPRATROPIUM BROMIDE (0.017 MG/ACTUATION) |
National average reimbursement for HCPCS J3535 by major payers:
$40.00
BCBS / Anthem
$55.00
UnitedHealthcare
$6.00
Aetna
$2.74
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J3535.
HCPCS J3535
5 of 25 sample ratesHigher to lower in this preview
Montefiore Mount Vernon Hospital, Montefiore Mount Vernon Professional Billing
Montefiore Mount Vernon Hospital
$64.00Published rateVariety Children'S Hospital, Nicklaus Children'S Miami Lakes Outpatient Center
Variety Childrens Hospital
$60.00Published rateHialeah Hospital Inc., Hialeah Hospital
$55.00Published rateHialeah Hospital Inc., Hialeah Hospital
$35.00Published rateOur Lady Of The Lake Rmc
Our Lady Of The Lake Hospital Inc
$16.22Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J3535 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J3535. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 54868-5511-00-NDC | Moderate | IPRATROPIUM BROMIDE (0.017 MG/ACTUATION) |
| J3530-HCPCS | Low | Nasal vaccine inhalation |
| J3535-HCPCS | Low | Drug administered through a metered dose inhaler |
| J3570-HCPCS | Low | Laetrile, amygdalin, vitamin B17 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J3535. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J3535 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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