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J3520 - HCPCS Level II | Verity

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HCPCS Level IIdrugActive

J3520

Edetate disodium per 150 mg

BETOS: O1E

Effective: 1996-01-01

Referenced in 2 policies

Description

Edetate disodium, per 150 mg

Drug Products

FDA-registered drug products mapped to this HCPCS code

EDETATE DISODIUM (U.S.P.)

NDC: 00406-1395-04

Billing: GM

EDETATE DISODIUM (U.S.P.)

NDC: 10106-8994-01

Billing: GM

EDETATE DISODIUM (U.S.P.)

NDC: 51552-0588-06

Billing: GM

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Medicare Part B Drug Pricing

ASP-Based Payment

This drug code is paid under Medicare Part B using the Average Sales Price (ASP) + 6% methodology.

ASP pricing data not currently available for this code.

Coverage Policies

This code is referenced in 2 Medicare coverage policies

Sample Policies

UHC-POL-chelation-therapy-non-overload-conditionsPayerPolicycovered

Chelation Therapy – Commercial and Individual Exchange Medical Policyopen_in_new

ANTHEM-CG-MED-90PayerPolicycovered

CG-MED-90 Chelation Therapy

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About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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