CSL Behring

BERINERT - Cost

Last Updated: April 1st, 2024

HCPCS:

J0597

HCPCS Code Descriptor:

Injection, c-1 esterase inhibitor (human), berinert, 10 units

Medicare Payment Limit:

The BERINERT Medicare Payment Limit is $64.427

Average Sale Price:

BERINERT ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The BERINERT Medicare Co-insurance percentage is 20%. BERINERT's Medicare Co-insurance amount is $12.89 per HCPCS unit.

APC Code:

The Berinert APC Code is: 9269

APC Payment Limit:

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

Berinert Cost Information:

BERINERT, HCPCS J0597, became effective in January 1, 2011. Historically, prices have shown an increase of a few percentage points every year. Between 2021 and 2024, ASP has averaged around 15% below WAC.

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