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See a sample rate comparisonHCPCS J7314 (Yutiq) 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.
Injection, fluocinolone acetonide, intravitreal implant (Yutiq), 0.01 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Miscellaneous Drugs |
| Common Place of Service | 11 - Office None 24 - Ambulatory Surgical Center |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for J7314 |
| Medicare Payment Limit | $529.889  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J7314 by major payers:
$503.61
$538.76
$581.91
$562.41
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HCPCS J7314
5 of 25 sample ratesHigher to lower in this preview
University Of Miami
$661.33Published rateHeart Care Associates PA
Heart Care Associates
$529.06Published rateInfectious Diseases Associates Of Fort Lauderdale PA
$529.00Published rateEmergency Physicians Inc
Emergency Physicians, Inc. Dba Emergency Resources Group
$529.00Published rateAdvanced Gastroenterological Associates Of Central Florida Inc
$370.30Published rate
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See a sample payer proposalHCPCS J7314 vs. Other Miscellaneous Drugs Codes
The HCPCS J7314 code is part of the Drugs Administered Other than Oral Method services used for Miscellaneous Drugs. 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 J7314 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 |
|---|---|---|
| J7313-HCPCS | Moderate | Injection, fluocinolone acetonide, intravitreal implant (Iluvien), 0.01 mg |
| J7314-HCPCS | Moderate | Injection, fluocinolone acetonide, intravitreal implant (Yutiq), 0.01 mg |
| J7315-HCPCS | Moderate | Mitomycin, ophthalmic, 0.2 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7314. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7314 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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