Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS J7674 (Provocholine) Fee Schedule
Last Verified: September 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.
Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Inhalation Solutions |
| Common Place of Service | 11 - Office None 22 - On Campus Outpatient Hospital |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7674 |
| Medicare Payment Limit | $1.755  |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 64281-0100-06 - PROVOCHOLINE 100 MG |
National average reimbursement for HCPCS J7674 by major payers:
$1.43
$1.55
$1.56
$1.61
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS J7674.
HCPCS J7674
5 of 25 sample ratesHigher to lower in this preview
Nash Hospitals Inc, Nash General Hospital
Nash Hospitals Inc
$2.46Published rateFilippo Filicori
North Shore-Lij Medical PC
$1.71Published rateWaccamaw Community Hospital, Tidelands Waccamaw Community Hospital
Waccamaw Community Hospital
$1.61Published rateBaltimore Vamc, Loch Raven Vamc
$1.54Published rateEvelyn Erickson
New York City Health And Hospitals Corporation
$1.22Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS J7674 vs. Other Inhalation Solutions Codes
The HCPCS J7674 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 J7674 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 |
|---|---|---|
| 64281-0100-06-NDC | Moderate | PROVOCHOLINE 100 MG |
| J7670-HCPCS | Low | Metaproterenol sulfate, inhalation solution, compounded product, administered through DME, unit dose form, per 10 milligrams |
| J7674-HCPCS | Low | Methacholine chloride administered as inhalation solution through a nebulizer, per 1 mg |
| J7676-HCPCS | Low | Pentamidine isethionate, inhalation solution, compounded product, administered through DME, unit dose form, per 300 mg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7674. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7674 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS J7674) and we'll show you how you compare in 15 minutes or less.