Wiki Kenalog 40

[KKAMMERER]

HCPCS code J3301 per unit medicare allowable $1.03 We are losing money on this product anybody else?

 

[taysin93]

Medicare covers 96372, offering essential financial support where many IPAs do not. When it comes to HCPCS Kenalog and Toradol injections, insurance only covers their cost. This is why clinics often direct patients to pick up the injections at a pharmacy and administer them there. Clinics struggle to profit from IPA injections due to primarily capitated payment models. It's important to note that both PPO and Medicare plans may come with high deductibles.

 

[kmtc613]

HCPCS code J3301 per unit medicare allowable $1.03 We are losing money on this product anybody else?

We are noticing Keystone First is either not paying, or only paying 1 unit.