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See a sample rate comparisonHCPCS J7685 (Tobramycin) 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.
Tobramycin, inhalation solution, compounded product, administered through DME, unit dose form, per 300 milligrams
| Key Fact | Detail |
|---|---|
| Service Type | Drugs Administered Other than Oral Method Inhalation Solutions |
| Common Place of Service | 11 - Office None 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for J7685 |
| WAC Price | Lorem ipsum dolor sit amet consectetur Lorem ipsum dolor sit amet consectetur VisitBuyandBill.com |
| Related NDC Codes | • 38779-0319-01 - TOBRAMYCIN SULFATE (U.S.P.) • 38779-0319-03 - TOBRAMYCIN SULFATE (U.S.P.) • 38779-0319-04 - TOBRAMYCIN SULFATE (U.S.P.) • 38779-0319-05 - TOBRAMYCIN SULFATE (U.S.P.) • 38779-0319-06 - TOBRAMYCIN SULFATE (U.S.P.) |
National average reimbursement for HCPCS J7685 by major payers:
$33.74
$21.46
$61.73
$54.01
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HCPCS J7685
5 of 25 sample ratesHigher to lower in this preview
Fairview Health Services, Fairview Diagnostic Laboratory
Fairview Health Services
$28.90Published rateOswego Hospital
$16.95Published rateThe Dch Healthcare Authority, Northport Medical Center
The Dch Health Care Authority
$16.00Published rateAscension Borgess Hospital
$15.94Published rateKenmore Mercy Hospital
$15.94Published rate
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See a sample payer proposalHCPCS J7685 vs. Other Inhalation Solutions Codes
The HCPCS J7685 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 J7685 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 |
|---|---|---|
| 38779-0319-01-NDC | Moderate | TOBRAMYCIN SULFATE (U.S.P.) |
| 38779-0319-03-NDC | Moderate | TOBRAMYCIN SULFATE (U.S.P.) |
| 38779-0319-04-NDC | Moderate | TOBRAMYCIN SULFATE (U.S.P.) |
| J7685-HCPCS | Low | Tobramycin, 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 J7685. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the J7685 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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