J3300 Triamcinolone a inj prs-free

Injection, triamcinolone acetonide (triesence), preservative free, 1 mg

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for J3300

Medicare Part B drug payment limit (ASP, October 2026)

J3300 payment limit: $17.199 per 1 MG, effective October 1, 2026 through December 31, 2026, based on 2Q26 ASP data. Coinsurance 5.754%. Note: Inflation-adjusted coinsurance.

NDCs that bill under J3300 (CMS ASP NDC-HCPCS crosswalk, October 2026)

Physician Fee Schedule (CY 2026, RVU26D)

Status E: excluded from the PFS by regulation.

Payer policies and prior authorization for J3300

1 of 1 payer prior-auth lists that name J3300 require prior authorization or set conditions: Humana.

PayerPlanStatePrior authConditionsSinceSource
HumanaHumana Healthy HorizonsLAprior auth requiredOct 14, 2026Humana Healthy Horizons in Louisiana Prior Authorization and Notification List

Payer coverage policies that name J3300

J3300 appears in 42 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaAbatacept (Orencia) (0720)
Rinvoq, Xeljanz, Otezla, Ruxolitinib, Hydroxychloroquine, Sulfasalazine		listed, no stanceJul 1, 2026payer document
AetnaAdalimumab (0655)
Anakinra (Kineret), Rinvoq, Otezla and Xeljanz, Clindamycin, Metronidazole, Rifampicin, Sulfasalazine, Leflunomide -		listed, no stance (range J3300-J3301)Jul 13, 2026payer document
AetnaAge-Related Macular Degeneration (0765)not coveredJan 14, 2026payer document
AetnaAldesleukin (Proleukin) (0024)listed, no stanceOct 9, 2026payer document
AetnaAllergy and Hypersensitivity (0038)not coveredMar 10, 2026payer document
AetnaBack Pain - Invasive Procedures (0016)listed, no stanceOct 6, 2026payer document
AetnaBack Pain - Invasive Procedures (0016)not coveredOct 6, 2026payer document
AetnaBenralizumab (Fasenra) (0925)listed, no stanceAug 25, 2026payer document
AetnaBunionectomy (0629)listed, no stanceSep 11, 2026payer document
AetnaCanakinumab (Ilaris) (0881)listed, no stanceAug 3, 2026payer document
AetnaCarbon Dioxide Laser (0427)listed, no stanceJul 8, 2026payer document
AetnaDepemokimab-ulaa (Exdensur) (1098)listed, no stance (range J3299-J3304)Aug 10, 2026payer document
AetnaEagle's and Ernest Syndrome (0400)listed, no stanceJun 30, 2026payer document
AetnaEfgartigimod Alfa-fcab (Vyvgart) and Efgartigimod Alfa and Hyaluronidase-qvfc (Vyvgart Hytrulo) (1002)listed, no stanceAug 11, 2026payer document
AetnaEtanercept (0315)listed, no stanceJul 8, 2026payer document
AetnaGolimumab (Simponi and Simponi Aria) (0790)listed, no stanceJul 31, 2026payer document
AetnaGuillain-Barre Syndrome Treatments (0732)
Sugammadex; Bifidobacterium infantis		not coveredDec 19, 2025payer document
AetnaHammertoe Repair (0636)listed, no stanceSep 11, 2026payer document
AetnaHeadaches: Nonsurgical Management (0462)covered if criteria are met (range J3300-J3303)Jul 23, 2026payer document
AetnaHematopoietic Cell Transplantation for Aplastic Anemia and other Bone Marrow Failure Syndromes (0627)listed, no stance (range J3299-J3304)Sep 23, 2026payer document
AetnaHypertrophic Scars and Keloids (0389)covered if criteria are metMay 28, 2026payer document
AetnaInfliximab (0341)listed, no stanceOct 5, 2026payer document
AetnaInjectable Medications (0020)listed, no stance (range J2550-J3520)Mar 5, 2026payer document
AetnaKnee Arthroscopy / Osteoarthritis of the Knee (0673)covered if criteria are metFeb 19, 2026payer document
AetnaLaser Treatment for Psoriasis and Other Selected Skin Conditions (0577)listed, no stanceJul 15, 2026payer document
AetnaLevator Syndrome Treatments (0679)not coveredOct 15, 2025payer document
AetnaLurbinectedin (Zepzelca) (0978)listed, no stanceMar 11, 2026payer document
AetnaMyalgic Encephalomyelitis - Chronic Fatigue Syndrome (ME/CSF) (0369)
Anakinra, nutraceutical interventions, probiotics, Intravenous glutathione		not coveredMay 20, 2026payer document
AetnaNipocalimab-aahu (Imaavy) (1083)listed, no stanceAug 11, 2026payer document
AetnaObinutuzumab (Gazyva) (0877)listed, no stanceJun 5, 2026payer document
AetnaOnasemnogene Abeparvovec (Zolgensma and Itvisma) (0953)listed, no stanceAug 10, 2026payer document
AetnaPlasmapheresis/Plasma Exchange/Therapeutic Apheresis (0285)listed, no stanceApr 16, 2026payer document
AetnaPost-Herpetic Neuralgia (0725)covered if criteria are metOct 20, 2025payer document
AetnaRituximab (0314)listed, no stanceSep 15, 2026payer document
AetnaSiltuximab (Sylvant) (0884)listed, no stanceJun 3, 2026payer document
AetnaSinus Surgeries (0937)listed, no stanceApr 10, 2026payer document
AetnaTemporomandibular Disorders (0028)listed, no stanceMar 12, 2026payer document
AetnaTezepelumab-ekko (Tezspire) (1003)listed, no stance (range J3299-J3304)Aug 6, 2026payer document
AetnaTocilizumab (0799)listed, no stanceJun 30, 2026payer document
AetnaVasectomy Procedures and Chronic Scrotal Content Pain (0027)listed, no stance (range J3299-J3304)Jan 27, 2026payer document
AetnaViscosupplementation (0179)
Sorbitol		not coveredSep 2, 2026payer document
AetnaVitiligo (0422)listed, no stanceJul 16, 2026payer document
AetnaVocal Cord Paralysis / Insufficiency Treatments (0253)listed, no stanceApr 15, 2026payer document

Recent prior-auth changes

  • Feb 1, 2026: PA added, Humana
  • Nov 1, 2025: PA removed, UnitedHealthcare
  • Apr 1, 2025: conditions changed, UnitedHealthcare
  • Mar 1, 2025: conditions changed, UnitedHealthcare

Medicaid fee-for-service

  • AZ: $23.27 (asc), effective Oct 1, 2026
  • FL: $40.00 (physician_administered_drugs), effective Jan 1, 2026
  • IL: $18.27 (practitioner), effective Apr 1, 2026
  • IN: $3.02 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2009
  • KS: $17.20 (default), effective Oct 1, 2026
  • KY: $24.49 (asc), effective Jan 1, 2026
  • MS: $18.78 (comprehensive), effective Jul 1, 2026
  • NE: $19.18 (injectables), effective Jul 1, 2026
  • OH: $18.78 (provider_administered_drugs), effective Jul 1, 2026
  • OK: $19.19 (physician, non-facility), effective Jul 1, 2026
  • TX: $4.11 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, non-facility), effective Sep 1, 2024
  • VA: $19.18 (medical), effective Jul 1, 2026
  • VT: $18.62 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $19.19 (professional_administered_drugs), effective Jul 1, 2026
  • WY: $8.13 (outpatient_hospital_apc, Ambulatory Surgical Centers), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.