ACCORD HEALTHCARE

CARMUSTINE - Cost

Last Updated: April 1st, 2024

HCPCS:

J9052

HCPCS Code Descriptor:

Injection, carmustine (accord), not therapeutically equivalent to j9050, 100 mg

Medicare Payment Limit:

The CARMUSTINE Medicare Payment Limit is $0.051

Average Sale Price:

CARMUSTINE ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The CARMUSTINE Medicare Co-insurance percentage is 20%. CARMUSTINE's Medicare Co-insurance amount is $0.01 per HCPCS unit.

APC Code:

The Carmustine APC Code is: 0718

APC Payment Limit:

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

Carmustine Cost Information:

CARMUSTINE, HCPCS J9052, became effective on January 1, 2024. At the beginning of 2024, AWP spiked significantly and has maintained a level of 800% above both WAC and ASP. The small gap between WAC and ASP indicates a somewhat moderate discount.

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Carmustine’s wholesale acquisition cost (WAC) information was last updated on:
August 4, 2023
Carmustine’s average wholesale price (AWP) information was last updated on:
July 5, 2022

Carmustine Cost Graph: