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See a sample rate comparisonHCPCS J7502 (Cyclosporine Modified) 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.
Cyclosporine, oral, 100 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Immunosuppressive Drugs |
| Common Place of Service | 99 - Other POS None |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7502 |
| Medicare Payment Limit | $2.039  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00074-3109-32 - GENGRAF (BLISTER PACK) 100 MG • 00074-7269-50 - GENGRAF 100 MG/ML • 00078-0241-15 - SANDIMMUNE (SOFTGEL) 100 MG • 00078-0241-61 - SANDIMMUNE (INNER PACK, SOFTGEL) 100 MG • 00078-0248-15 - NEORAL (SOFTGEL) 100 MG |
National average reimbursement for HCPCS J7502 by major payers:
$2.45
$2.96
$2.79
$2.63
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HCPCS J7502
5 of 25 sample ratesHigher to lower in this preview
Lifemark Hospitals Of Florida, Inc., Palmetto General Hospital
$35.00Published rateCarline Michaud
North Shore-Lij Medical PC
$2.64Published rateAspirus Stevens Point Hospital & Clinics, Inc., Aspirus Stevens Point Hospital & Clinics, Inc.
Ascension Ne Wisconsin Inc
$2.39Published ratePatty Truman
Ues Geauga LLC
$2.20Published rateSinai Hospital Of Baltimore Inc, Sinai Surgery Associates
Sinai Hospital Of Baltimore Inc
$2.20Published rate
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See a sample payer proposalHCPCS J7502 vs. Other Immunosuppressive Drugs Codes
The HCPCS J7502 code is part of the Drugs Administered Other than Oral Method services used for Immunosuppressive 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 J7502 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 |
|---|---|---|
| 00074-3109-32-NDC | Moderate | GENGRAF (BLISTER PACK) 100 MG |
| 00074-7269-50-NDC | Moderate | GENGRAF 100 MG/ML |
| 00078-0241-15-NDC | Moderate | SANDIMMUNE (SOFTGEL) 100 MG |
| J7502-HCPCS | Low | Cyclosporine, oral, 100 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7502. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7502 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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