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See a sample rate comparisonHCPCS J7345 (Ameluz) 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.
Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Miscellaneous Drugs |
| Common Place of Service | 11 - Office None 22 - On Campus Outpatient Hospital |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7345 |
| Medicare Payment Limit | $1.793  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J7345 by major payers:
$1.84
$1.78
$1.89
$1.84
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HCPCS J7345
5 of 25 sample ratesHigher to lower in this preview
North Memorial Health Care, North Memorial Health Professional Services
$3.11Published rateWeirton Medical Center, Inc, Weirton Medial Center
Weirton Medical Center Inc
$1.85Published rateRussell Hospital Corporation, Russell Medical Center
Russell Hospital Corporation
$1.72Published rateCasper Medical Center LLC, Mountain View Regional Hospital
Casper Medical Center LLC
$1.72Published rateGrady Memorial Hospital, Professional Medical Services
Grady Memorial Hospital
$1.72Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J7345 vs. Other Miscellaneous Drugs Codes
The HCPCS J7345 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 J7345 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 |
|---|---|---|
| J7342-HCPCS | Low | Instillation, ciprofloxacin otic suspension, 6 mg |
| J7345-HCPCS | Low | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg |
| J7351-HCPCS | Moderate | Injection, bimatoprost, intracameral implant, 1 microgram |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7345. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7345 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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