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HCPCS J7100 (Lmd In Dextrose) 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.

Infusion, dextran 40, 500 ml
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Drugs, Administered by Injection

Common Place of Service

None

11 - Office

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for J7100
WAC Price
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Related NDC Codes

00409-7418-03 - LMD IN DEXTROSE (12X500ML,LATEX-FREE) 10%-5%

00409-7419-03 - LMD W/0.9% SODIUM CHLORIDE (LATEX-FREE) 10%-0.9%


National average reimbursement for HCPCS J7100 by major payers:

bcbs

$40.27

uhc

$40.16

aetna

$41.95

cigna

$35.59

Compare published rates across providers.

Choose a payer to see a sample of rates for HCPCS J7100.

HCPCS J7100
5 of 25 sample ratesHigher to lower in this preview
  1. Houston Northwest Operating Company, LLC, Houston Northwest Medical Center Acute

    TXGeneral Acute Care HospitalNPI 1740450121Tax ID 26-1512163

    $77.30Published rate
  2. Uva Prince William Medical Center, Uva Health Prince William Medical Center

    Uva Prince William Medical Center

    VAGeneral Acute Care HospitalNPI 1205987898Tax ID 54-0696355

    $42.93Published rate
  3. Trinity Hospital Holding Company, Trinity Medical Center West

    Trinity Health System

    OHGeneral Acute Care HospitalNPI 1285715144Tax ID 34-1842025

    $39.04Published rate
  4. Crenshaw County Health Care Authority, Crenshaw Community Hospital

    Crenshaw County Health Care Authority

    ALGeneral Acute Care HospitalNPI 1750480406Tax ID 20-2318944

    $39.04Published rate
  5. Methodist Medical Center Of Illinois

    ILGeneral Acute Care HospitalNPI 1164474755Tax ID 37-0661223

    $39.04Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS J7100 vs. Other Drugs, Administered by Injection Codes

The HCPCS J7100 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 J7100 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.

CodeComplexityDescription
00409-7418-03-NDCModerateLMD IN DEXTROSE (12X500ML,LATEX-FREE) 10%-5%
00409-7419-03-NDCModerateLMD W/0.9% SODIUM CHLORIDE (LATEX-FREE) 10%-0.9%
J7070-HCPCSLowInfusion, D5W, 1000 cc
J7100-HCPCSLowInfusion, dextran 40, 500 ml

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7100. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J7100 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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