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See a sample rate comparisonHCPCS J7641 (Flunisolide) 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.
Flunisolide, inhalation solution, compounded product, administered through DME, unit dose, per milligram
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Inhalation Solutions |
| Common Place of Service | 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7641 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 51927-1794-00 - FLUNISOLIDE ANHYDROUS (U.S.P.) |
National average reimbursement for HCPCS J7641 by major payers:
$15.43
$0.24
$0.26
$6.21
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HCPCS J7641
5 of 25 sample ratesHigher to lower in this preview
North Shore Medical Center, Inc., North Shore Medical Center
$35.00Published rateFairview Health Services, University Of Mn Medical Center, Fairview
$0.28Published rateMemorial Hospital, Mhri Professionall Billing
Memorial Hospital
$0.20Published rateMetropolitan Hospital, Metro Health Hospital
Metropolitan Hospital
$0.20Published rateDonna Medical Clonic
Donna Medical Clinic, P.A.
$0.12Published rate
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See a sample payer proposalHCPCS J7641 vs. Other Inhalation Solutions Codes
The HCPCS J7641 code is part of the Drugs Administered Other than Oral Method services used for Inhalation Solutions. 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 J7641 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 |
|---|---|---|
| 51927-1794-00-NDC | Moderate | FLUNISOLIDE ANHYDROUS (U.S.P.) |
| J7640-HCPCS | Low | Formoterol, inhalation solution, compounded product, administered through DME, unit dose form, 12 micrograms |
| J7641-HCPCS | Low | Flunisolide, inhalation solution, compounded product, administered through DME, unit dose, per milligram |
| J7642-HCPCS | Low | Glycopyrrolate, inhalation solution, compounded product, administered through DME, concentrated form, per milligram |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7641. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7641 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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