Home Drug Codes J Codes J3246 · AGGRASTAT
Updated July 1st, 2026

AGGRASTAT J Code: J3246

Injection, tirofiban hcl, 0.25 mg

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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.

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Medicare Payment Limit ?
$2.917
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
12
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Drug & Product Overview

HCPCS Descriptor Injection, tirofiban hcl, 0.25 mg
HCPCS Added Date January 1, 2005
Manufacturer Multiple Manufacturers
Route of Administration Intravenous
Generic Status Multi-Source; Generic
Dosage Type Single-Dose
Dosage Form Injection | Injection, Solution

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

J3246 Private Payer Reimbursement
$3.39 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

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)
Not on the CMS JW / JZ list

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.

Practitioner Office
1 unit / day
= 0.25 mg per day
Hospital Outpatient
100 units / day
= 25 mg per day

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 →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

AGGRASTAT Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

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.

Non-ST Elevation Acute Coronary Syndrome (NSTE-ACS)
Drug Class
Decreased Platelet Aggregation [PE]Platelet Aggregation Inhibitor [EPC]

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Frequently Asked Questions

Is there an available Aggrastat billing and coding guide?
We have not yet identified a manufacturer source of Aggrastat billing and coding information.
Are there any available Aggrastat patient assistance programs?
Our team did not identify a source for Aggrastat patient assistance information. Please reach out to our team if you feel that this is a mistake.
Where can I find Aggrastat prescribing information?
AGGRASTAT prescribing information can be found at the link below. Please reach out to us if you believe this information to be innacurate or out of date. Visit Here →
Where can I find Aggrastat side effect information?
Our team has not yet identified a source of side effects information for AGGRASTAT. Please check back in a few weeks.
Does billing AGGRASTAT require JZ/JW wastage modifiers?
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. For more information, visit the link below.

About BuyandBill.com:

The BuyandBill.com team is dedicated to delivering high-quality coding and billing information for office-administered drugs. We continuously research HCPCS-coded medications to expand our resources and ensure data accuracy. Manufacturers: click here to sponsor your medication, and we will ensure the most accurate and detailed information is displayed.