Wiki Medication JCode fees?

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mwoolum

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Can someone help me in how to determine a fee to charge for J7321 Supartz?
There are no RVU's assigned to these codes. Does one determine by the cost of the drug per dose?
 
For the 1st quarter 2010, Medicare allows $92.29 for 1 billing unit of J7321. Most providers set their fees at cost plus a percentage to cover handling, ordering expenses, etc.
 
To find all the fees for J codes, refer to your local Medicare carrier website. I am in Indiana and Michigan. The fees for these state were in the same sections as the regular physician fee schedules. Indiana Medicare (NGS Medicare) has a link to fee schedules on their home page.
 
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