Lantheus

DEFINITY - Cost

Updated as of: July 1st, 2024

HCPCS:

Q9957

HCPCS Code Descriptor:

Injection, perflutren lipid microspheres, per ml

Medicare Payment Limit:

The Definity Medicare Payment Limit is $41.793.

Average Sale Price:

DEFINITY ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Definity Medicare Co-Insurance percentage is 20%. Definity's Medicare Co-Insurance amount is $8.359

APC Code:

The Definity APC Code is: not available

APC Payment Limit:

The APC Payment Limit for DEFINITY is not available.

Definity Cost Information:

DEFINITY, became effective on April 1, 2005, and is aligned to HCPCS Q9957. There are four NDCs associated to Q9957 with potential errors found within all of these mappings. Historically, pricing has been somewhat stagnant as AWP and WAC have had no changes. ASP had decreased by just over 10% between 2018 and 2024.

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

Definity Cost Graph: