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HCPCS J7684 (Triamcinolone) Fee Schedule

Last Verified: November 2025

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.

Triamcinolone, inhalation solution, compounded product, administered through DME, unit dose form, per milligram
Key FactDetail
Service Type

Drugs Administered Other than Oral Method

Inhalation Solutions

Common Place of Service

11 - Office

20 - Urgent Care Facility

Complexity LevelLow
WAC Price
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Related NDC Codes

38779-0011-01 - TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)

38779-0011-03 - TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)

38779-0011-04 - TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)

38779-0011-05 - TRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)

38779-0051-01 - TRIAMCINOLONE (U.S.P.)


National average reimbursement for HCPCS J7684 by major payers:

bcbs

$15.16

uhc

$4.75

aetna

$0.54

cigna

$0.89

Preview provider-level rates for...
For billing codeHCPCS J7684
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for HCPCS J7684

United
J7684$5.151114473212 - PRISMA HEALTH-UPSTATE, PRISMA HEALTH CANCER INST-FARIS571004971 - PRISMA HEALTH-UNIVERSITY MEDICAL GROUPSCGeneral Acute Care Hospital (282N00000X)
United
J7684$5.051407016488 - RAN SCHWARZKOPF271504911 - (CA) MEMORIALCARE MEDICAL FOUNDATIONCAGeneral Acute Care Hospital (282N00000X)
United
J7684$4.961568548782 - CANTON-POTSDAM HOSPITAL161012691 - CANTON-POTSDAM HOSPITALNYGeneral Acute Care Hospital (282N00000X)
United
J7684$4.961366947210 - JASON RAGGI132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONNYGeneral Acute Care Hospital (282N00000X)
United
J7684$4.461558364802 - MOBILE INFIRMARY ASSOCIATION, MOBILE INFIRMARY MEDICAL CENTER630288856 - (AL) MOBILE INFIRMARY ASSOCIATIONALGeneral Acute Care Hospital (282N00000X)
United
J7684$6.091154317527 - STATE OF MISSISSIPPI646008520MSGeneral Acute Care Hospital (282N00000X)
United
J7684$4.691902878994 - COMMUNITY HOWARD REGIONAL HEALTH, INC943434805INGeneral Acute Care Hospital (282N00000X)
United
J7684$7.921376544320 - STATE UNIVERSITY OF IOWA, UNIVERSITY OF IOWA HOSPITALS & CLINICS426004813IAGeneral Acute Care Hospital (282N00000X)
United
J7684$3.091669883401 - RABI UPADHYAY132655001 - NEW YORK CITY HEALTH AND HOSPITALS CORPORATIONNYGeneral Acute Care Hospital (282N00000X)
United
J7684$4.961285717298 - NIAGARA FALLS MEMORIAL MEDICAL CENTER160743094 - (NY) NIAGARA FALLS MEMORIAL MEDICAL CENTERNYGeneral Acute Care Hospital (282N00000X)
United
J7684$5.631558655381 - FILIPPO FILICORI453023019 - (NY) NORTH SHORE-LIJ MEDICAL PCNYGeneral Acute Care Hospital (282N00000X)
United
J7684$5.751407219181 - SARAH ALLEN223376459 - HACKENSACK MERIDIAN HEALTH MEDICAL GROUP-SPECIALTY CARE PCCAGeneral Acute Care Hospital (282N00000X)
United
J7684$4.691558607457 - THE METROHEALTH SYSTEM, METROHEALTH SYSTEM346004382OHGeneral Acute Care Hospital (282N00000X)
United
J7684$6.091154317527 - STATE OF MISSISSIPPI208512947 - (MS) UNIVERSITY PHYSICIANS, PLLCMSGeneral Acute Care Hospital (282N00000X)
United
J7684$4.981528257292 - ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F, ST JOHN'S PHYSICIAN SERVICES370661238 - (IL) ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FILGeneral Acute Care Hospital (282N00000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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HCPCS J7684 vs. Other Inhalation Solutions Codes

The HCPCS J7684 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 J7684 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
38779-0011-01-NDCModerateTRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)
38779-0011-03-NDCModerateTRIAMCINOLONE ACETONIDE (U.S.P.,MICRONIZED)
J7684-HCPCSLowTriamcinolone, inhalation solution, compounded product, administered through DME, unit dose form, per milligram
J7685-HCPCSLowTobramycin, inhalation solution, compounded product, administered through DME, unit dose form, per 300 milligrams

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS J7684. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the J7684 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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