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See a sample rate comparisonHCPCS J7100 (Lmd In Dextrose) Fee Schedule
HCPCS J7100 is classified under Drugs Administered Other than Oral Method, in the Drugs, Administered by Injection subgroup.
Infusion, dextran 40, 500 ml
| 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 | $31.00 median of the 8 states in the free preview · View Medicaid rates for J7100 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| 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:
$40.27
BCBS / Anthem
$40.16
UnitedHealthcare
$41.95
Aetna
$35.59
Cigna
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
Houston Northwest Operating Company, LLC, Houston Northwest Medical Center Acute
$77.30Published rateUva Prince William Medical Center, Uva Health Prince William Medical Center
Uva Prince William Medical Center
$42.93Published rateTrinity Hospital Holding Company, Trinity Medical Center West
Trinity Health System
$39.04Published rateCrenshaw County Health Care Authority, Crenshaw Community Hospital
Crenshaw County Health Care Authority
$39.04Published rateMethodist Medical Center Of Illinois
$39.04Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J7100 vs. Other Drugs, Administered by Injection Codes
The table lists codes related to J7100. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 00409-7418-03-NDC | Moderate | LMD IN DEXTROSE (12X500ML,LATEX-FREE) 10%-5% |
| 00409-7419-03-NDC | Moderate | LMD W/0.9% SODIUM CHLORIDE (LATEX-FREE) 10%-0.9% |
| J7070-HCPCS | Low | Infusion, D5W, 1000 cc |
| J7100-HCPCS | Low | Infusion, 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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