AGGRASTAT J Code: J3246
Injection, tirofiban hcl, 0.25 mg
Q4 2026 Medicare Payment Limit for J3246, effective October 1, 2026: $2.615 per HCPCS billing unit, down 10.4% from $2.917. From CMS's final file.
Drug & Product Overview
About AGGRASTAT
Aggrastat is a medication aligned to the HCPCS J Code: J3246 for billing, pricing, and reimbursement purposes in the United States. This Hematology medication is administered via the intravenous route and manufactured by multiple companies.
Manufacturers, reach out to us to add more information.
NDC Code Information
Based on publicly available CMS files. Showing 5 of 12 NDCs — log in for the full crosswalk.
| NDC Code | Drug | Manufacturer | Billing Units / Pkg | Package Size |
|---|---|---|---|---|
| 14789-0102-05 | Tirofiban | Nexus Pharmaceuticals, LLC | 50 | 0.9 MG / 250 ML |
| 14789-0102-10 | Tirofiban Hydrochloride | Nexus Pharmaceuticals LLC | 100 | 12.5 MG / 250 ML |
| 25021-0417-84 | Tirofiban Hydrochloride | Sagent Pharmaceuticals | 50 | 12.5 MG / 250 ML |
| 25208-0001-04 | Aggrastat | Medicure International Inc | 15 | 3.75 MG / 15 ML |
| 55150-0429-01 | Tirofiban | Eugia Us Llc | 20 | 5 MG / 100 ML |
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AGGRASTAT Pricing & Reimbursement
National median reimbursement across major commercial payers.
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Login to use the calculator →AGGRASTAT CPT Administration Codes
The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.
| CPT Code | Description |
|---|---|
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour |
| 96366 | Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) |
CMS does not include Aggrastat (J3246) on its list of HCPCS pertaining to single-dose containers. Per CMS guidelines, the JZ/JW wastage modifiers may not apply when billing J3246. Wastage billing guide →
AGGRASTAT Medically Unlikely Edits (MUE)
The most billing units of J3246 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 0.25 mg. The limit is different in the office and the hospital. Use the one for your setting.
MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →
AGGRASTAT Clinical Information
Indications and drug classification.
This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.
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Frequently Asked Questions
Is there an available Aggrastat billing and coding guide?
Are there any available Aggrastat patient assistance programs?
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Does billing AGGRASTAT require JZ/JW wastage modifiers?
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