Mylan

ARIXTRA - Cost

Last Updated: April 1st, 2024

HCPCS:

J1652

HCPCS Code Descriptor:

Injection, fondaparinux sodium, 0.5 mg

Medicare Payment Limit:

The ARIXTRA Medicare Payment Limit is $1.031

Average Sale Price:

ARIXTRA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The ARIXTRA Medicare Co-insurance percentage is 20%. ARIXTRA's Medicare Co-insurance amount is $0.21 per HCPCS unit.

APC Code:

The Arixtra APC Code is: not available

APC Payment Limit:

The APC Payment Limit for ARIXTRA is not available.

Arixtra Cost Information:

ARIXTRA, became effective on January 1, 2003, and is associated with HCPCS J1652. ARIXTRA has 39 NDCs mapped to J Code: J1652 with no errors found. From 2022 through 2024, WAC and AWP have shown no changes while ASP has had a moderate decrease of around 25%.

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Arixtra’s wholesale acquisition cost (WAC) information was last updated on:
April 1, 2021
Arixtra’s average wholesale price (AWP) information was last updated on:
April 1, 2021