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See a sample rate comparisonHCPCS J7676 (Pentamidine Isethionate) 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.
Pentamidine isethionate, inhalation solution, compounded product, administered through DME, unit dose form, per 300 mg
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Inhalation Solutions |
| Common Place of Service | None 11 - Office |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7676 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 13925-0515-10 - PENTAMIDINE ISETHIONATE (SDV,LYOPHILIZED) 300 MG • 63323-0113-10 - PENTAM (S.D.V.,PF) 300 MG |
National average reimbursement for HCPCS J7676 by major payers:
$0.01
$1,000,000.00
$441.00
$51,624.48
Compare published rates across providers.
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HCPCS J7676
5 of 6 sample ratesHigher to lower in this preview
Montefiore New Rochelle Hospital, Montefiore New Rochelle Professional Billing
Montefiore New Rochelle Hospital
$64.00Published rateSouth Nassau Communities Hospital
$64.00Published rateMontefiore Mount Vernon Hospital, Montefiore Mount Vernon Professional Billing
Montefiore Mount Vernon Hospital
$64.00Published rateSouth Nassau Communities Hospital
$64.00Published rateMontefiore New Rochelle Hospital, Montefiore New Rochelle Professional Billing
Montefiore New Rochelle Hospital
$64.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS J7676 vs. Other Inhalation Solutions Codes
The HCPCS J7676 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 J7676 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 |
|---|---|---|
| 13925-0515-10-NDC | Moderate | PENTAMIDINE ISETHIONATE (SDV,LYOPHILIZED) 300 MG |
| 63323-0113-10-NDC | Moderate | PENTAM (S.D.V.,PF) 300 MG |
| 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 J7676. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7676 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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