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See a sample rate comparisonHCPCS J7301 (Skyla) Fee Schedule
Last Verified: October 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.
Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Contraceptive Systems |
| Common Place of Service | 11 - Office None 50 - Federally Qualified Health Center |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for J7301 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J7301 by major payers:
$920.41
$1,012.30
$1,069.13
$1,019.88
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HCPCS J7301
5 of 25 sample ratesHigher to lower in this preview
Alexander Chiang
$4,596.29Published rateSteven Berliner
Triangle Physician Network LLC
$1,412.57Published rateBrittany Ptachick
Hroa 401k Plan
$944.87Published rateMichael Shuler
Athens Orthopedic Clinic, PA
$944.87Published rateStephanie Osorio
Florida Woman Care, LLC
$892.90Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J7301 vs. Other Contraceptive Systems Codes
The HCPCS J7301 code is part of the Drugs Administered Other than Oral Method services used for Contraceptive Systems. 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 J7301 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 |
|---|---|---|
| J7300-HCPCS | High | Intrauterine copper contraceptive (paragard) |
| J7301-HCPCS | Moderate | Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg |
| J7304-HCPCS | Low | Contraceptive supply, hormone containing patch, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7301. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7301 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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