Genentech

ACTIVASE - Cost

Last Updated: April 1st, 2024

HCPCS:

J2997

HCPCS Code Descriptor:

Injection, alteplase recombinant, 1 mg

Medicare Payment Limit:

The ACTIVASE Medicare Payment Limit is $88.822

Average Sale Price:

ACTIVASE ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The ACTIVASE Medicare Co-insurance percentage is 20%. ACTIVASE's Medicare Co-insurance amount is $17.76 per HCPCS unit.

APC Code:

The Activase APC Code is: 7048

APC Payment Limit:

The APC Payment Limit for ACTIVASE is available. Login to view.

Activase Cost Information:

ACTIVASE, HCPCS J2997, became effective on January 1, 2001. ACTIVASE has four NDCs aligned to J2997 with one possible error found within these mappings. From 2018 to 2021, WAC and AWP experienced no changes. Beginning in 2022, both began to trend upwards and have risen by almost 50% through 2024.

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Activase’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2024
Activase’s average wholesale price (AWP) information was last updated on:
January 1, 2024