Bioventus

Durolane - Cost

Last Updated: April 1st, 2024

HCPCS:

J7318

HCPCS Code Descriptor:

Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg

Medicare Payment Limit:

The Durolane Medicare Payment Limit is $6.55

Average Sale Price:

Durolane ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Durolane Medicare Co-insurance percentage is 20%. Durolane's Medicare Co-insurance amount is $1.31 per HCPCS unit.

APC Code:

The Durolane APC Code is: 9174

APC Payment Limit:

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

Durolane Cost Information:

Durolane, manufactured by Bioventus, became effective on January 1, 2019. In 2022, WAC and AWP began to increase slightly by a couple percentage points. In contrast, ASP declined by nearly 40% during the same time.

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Durolane’s wholesale acquisition cost (WAC) information was last updated on:
December 1, 2023
Durolane’s average wholesale price (AWP) information was last updated on:
December 1, 2023