Allergan

BOTOX - Cost

Last Updated: April 1st, 2024

HCPCS:

J0585

HCPCS Code Descriptor:

Injection, onabotulinumtoxina, 1 unit

Medicare Payment Limit:

The BOTOX Medicare Payment Limit is $6.319

Average Sale Price:

BOTOX ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The BOTOX Medicare Co-insurance percentage is 20%. BOTOX's Medicare Co-insurance amount is $1.26 per HCPCS unit.

APC Code:

The Botox APC Code is: 0902

APC Payment Limit:

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

Botox Cost Information:

BOTOX, HCPCS J0585, became effective on January 1, 2010 and currently has four NDCs mapped to J0585. From 2021 to 2022, both AWP and WAC experienced two slight increases and have remained constant through 2024. ASP has risen slightly between 2022 and 2024 but still trends around 5% lower than WAC.

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