Regeneron

EYLEA - Cost

Last Updated: April 1st, 2024

HCPCS:

J0178

HCPCS Code Descriptor:

Injection, aflibercept, 1 mg

Medicare Payment Limit:

The EYLEA Medicare Payment Limit is $841.128

Average Sale Price:

EYLEA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The EYLEA Medicare Co-insurance percentage is 20%. EYLEA's Medicare Co-insurance amount is $168.23 per HCPCS unit.

APC Code:

The Eylea APC Code is: 1420

APC Payment Limit:

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

Eylea Cost Information:

Eylea is aligned to the J Code: J0178 which became effective in January of 2013. The WAC and AWP list pricing for Eylea have remained steady since the NDC: 61755-0005-02 became effective in November of 2011. Up until 2020, the ASP for Eylea remained very close to the WAC, indicating a lack of discounting. Since 2020, Eylea’s average sales price has slowly begun to decrease.

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Eylea’s wholesale acquisition cost (WAC) information was last updated on:
December 3, 2019
Eylea’s average wholesale price (AWP) information was last updated on:
December 3, 2019