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See a sample rate comparisonHCPCS J7354 (Ycanth) 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.
Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg)
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Miscellaneous Drugs |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for J7354 |
| Medicare Payment Limit | $654.757  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
National average reimbursement for HCPCS J7354 by major payers:
$678.13
$737.70
$1,196.54
$962.07
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HCPCS J7354
5 of 25 sample ratesHigher to lower in this preview
Aroostook Medical Center, Northern Light A.R. Gould Hospital
Eastern Maine Healthcare Systems
$1,245.56Published rateSinai Hospital Of Baltimore Inc, Sinai Ophthalmology Associates/Kreiger Eye Institute
Sinai Hospital Of Baltimore Inc
$725.98Published rateMemorial Hospital
$711.75Published rateColumbia Vamc
$711.75Published rateMercy Medical Center
$362.98Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J7354 vs. Other Miscellaneous Drugs Codes
The HCPCS J7354 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 J7354 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 |
|---|---|---|
| J7354-HCPCS | Moderate | Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7354. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7354 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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