Saol Therapeutics

CYTOGAM - Cost

Last Updated: April 1st, 2024

HCPCS:

J0850

HCPCS Code Descriptor:

Injection, cytomegalovirus immune globulin intravenous (human), per vial

Medicare Payment Limit:

The CYTOGAM Medicare Payment Limit is $1808.222

Average Sale Price:

CYTOGAM ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The CYTOGAM Medicare Co-insurance percentage is 19.783%. CYTOGAM's Medicare Co-insurance amount is $357.72 per HCPCS unit.

APC Code:

The Cytogam APC Code is: 0903

APC Payment Limit:

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

Cytogam Cost Information:

CYTOGAM, manufactured by Saol Therapeutics, became effective on January 1, 1997, and is aligned to HCPCS J0850. Historic pricing shows AWP and WAC increasing every four months on average. Through 2023, ASP remains close to WAC indicating minimal discounting.

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Cytogam’s wholesale acquisition cost (WAC) information was last updated on:
October 2, 2023
Cytogam’s average wholesale price (AWP) information was last updated on:
October 2, 2023