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See a sample rate comparisonHCPCS J7342 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.
Instillation, ciprofloxacin otic suspension, 6 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Miscellaneous Drugs |
| Common Place of Service | None 20 - Urgent Care Facility 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7342 |
National average reimbursement for HCPCS J7342 by major payers:
$31.53
$29.82
$30.56
$30.84
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HCPCS J7342
5 of 25 sample ratesHigher to lower in this preview
Montefiore Medical Center
$85.34Published rateRebecca Stonis
Cleveland Clinic Health System East Region
$34.41Published rateCape Memorial Hospital Inc, Cape Coral Hospital
$29.89Published rateSouthern Monterey County Memorial Hospital, George L. Mee Memorial Hospital
Southern Monterey County Memorial Hospital
$29.17Published rateMobile Infirmary Association, Mobile Infirmary Medical Center
Mobile Infirmary Association
$27.79Published rate
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See a sample payer proposalHCPCS J7342 vs. Other Miscellaneous Drugs Codes
The HCPCS J7342 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 J7342 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 |
|---|---|---|
| J7340-HCPCS | Moderate | Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml |
| J7342-HCPCS | Low | Instillation, ciprofloxacin otic suspension, 6 mg |
| J7345-HCPCS | Low | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7342. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7342 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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