J3370 Vancomycin hcl injection

Injection, vancomycin hcl, 500 mg

Payer policies and prior authorization for J3370

Payer coverage policies that name J3370

J3370 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaInjectable Medications (0020)listed, no stance (range J2550-J3520)Mar 5, 2026payer document

Medicaid fee-for-service

  • KY: $0.00 (asc), effective Jan 1, 2026
  • WA: $1.95 (kidneycenters), effective Jul 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.