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See a sample rate comparisonHCPCS J7340 (Duopa) 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.
Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Miscellaneous Drugs |
| Common Place of Service | None 99 - Other POS |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for J7340 |
| Medicare Payment Limit | $243.607  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00074-3012-07 - DUOPA 4.63 MG/ML-20 MG/ML |
National average reimbursement for HCPCS J7340 by major payers:
$231.12
$239.80
$252.14
$249.82
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HCPCS J7340
5 of 25 sample ratesHigher to lower in this preview
Rene Packard
$1,093.10Published rateSathappan Kumar
Stony Brook Surgical Associates University Faculty Practice Corp
$310.50Published rateMethodist Medical Center Of Illinois
$235.94Published rateInnovis Health, LLC, Essentia Health Fargo
Innovis Health LLC
$235.05Published rateNorth Shore Medical Center, Inc., North Shore Medical Center
$55.00Published rate
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See a sample payer proposalHCPCS J7340 vs. Other Miscellaneous Drugs Codes
The HCPCS J7340 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 J7340 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 |
|---|---|---|
| 00074-3012-07-NDC | Moderate | DUOPA 4.63 MG/ML-20 MG/ML |
| J7336-HCPCS | Low | Capsaicin 8% patch, per square centimeter |
| J7340-HCPCS | Moderate | Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml |
| J7342-HCPCS | Low | Instillation, ciprofloxacin otic suspension, 6 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7340. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7340 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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