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See a sample rate comparisonHCPCS J7525 (Prograf) 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.
Tacrolimus, parenteral, 5 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Immunosuppressive Drugs |
| Common Place of Service | 11 - Office None |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for J7525 |
| Medicare Payment Limit | $263.148  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 00469-3016-01 - PROGRAF (AMP,PF) 5 MG/ML |
National average reimbursement for HCPCS J7525 by major payers:
$248.16
$259.63
$277.13
$270.54
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HCPCS J7525
5 of 25 sample ratesHigher to lower in this preview
Sutter Valley Hospitals, Sutter Solano Medical Center
Sutter Valley Hospitals
$638.95Published rateNargis Jilani
Stony Brook Internists P C
$351.60Published rateCentre Hospital Corporation, Cherokee Medical Center
$268.82Published rateThe Unity Hospital Of Rochester, Unity Physician Services
The Unity Hospital Of Rochester
$254.66Published rateNorth Shore Medical Center, Inc., North Shore Medical Center
$35.00Published rate
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See a sample payer proposalHCPCS J7525 vs. Other Immunosuppressive Drugs Codes
The HCPCS J7525 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 J7525 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 |
|---|---|---|
| 00469-3016-01-NDC | Moderate | PROGRAF (AMP,PF) 5 MG/ML |
| J7520-HCPCS | Low | Sirolimus, oral, 1 mg |
| J7525-HCPCS | Moderate | Tacrolimus, parenteral, 5 mg |
| J7527-HCPCS | Low | Everolimus, oral, 0.25 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7525. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7525 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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