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HCPCS J7669 (Metaproterenol Sulfate) 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.

Metaproterenol sulfate, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, per 10 milligrams
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Inhalation Solutions

Common Place of Service

11 - Office

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for J7669
WAC Price
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National average reimbursement for HCPCS J7669 by major payers:

bcbs

$6.07

uhc

$0.49

aetna

$0.62

cigna

$0.44

Compare published rates across providers.

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HCPCS J7669
5 of 25 sample ratesHigher to lower in this preview
  1. University Of California San Francisco Medical Center, Ucsf Medical Center

    CAGeneral Acute Care HospitalNPI 1619071263Tax ID 94-3281660

    $2.10Published rate
  2. Zachary Macdonald

    Physician Affiliate Group Of New York PC

    NYGeneral Acute Care HospitalNPI 1851755201Tax ID 90-0603487

    $0.46Published rate
  3. UPMC Washington

    Washington Hospital

    PAGeneral Acute Care HospitalNPI 1609984889Tax ID 25-0965600

    $0.43Published rate
  4. Goshen Hospital Association Inc, Goshen General Hospital

    Goshen Hospital Association Inc

    INGeneral Acute Care HospitalNPI 1740268846Tax ID 35-6001540

    $0.43Published rate
  5. Curators Of The University Of Missouri, Women'S And Children'S Hospital

    MOGeneral Acute Care HospitalNPI 1861486151Tax ID 90-0294051

    $0.43Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS J7669 vs. Other Inhalation Solutions Codes

The HCPCS J7669 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 J7669 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.

CodeComplexityDescription
J7668-HCPCSLowMetaproterenol sulfate, inhalation solution, FDA-approved final product, non-compounded, administered through DME, concentrated form, per 10 milligrams
J7669-HCPCSLowMetaproterenol sulfate, inhalation solution, FDA-approved final product, non-compounded, administered through DME, unit dose form, per 10 milligrams
J7670-HCPCSLowMetaproterenol sulfate, inhalation solution, compounded product, administered through DME, unit dose form, per 10 milligrams

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7669. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J7669 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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