Bio Products Laboratory

GAMMAPLEX - Cost

Last Updated: April 1st, 2024

HCPCS:

J1557

HCPCS Code Descriptor:

Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg

Medicare Payment Limit:

The GAMMAPLEX Medicare Payment Limit is $55.009

Average Sale Price:

GAMMAPLEX ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The GAMMAPLEX Medicare Co-insurance percentage is 20%. GAMMAPLEX's Medicare Co-insurance amount is $11 per HCPCS unit.

APC Code:

The Gammaplex APC Code is: 9270

APC Payment Limit:

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

Gammaplex Cost Information:

Gammaplex is aligned to the HCPCS Code J1557, which became effective in the first quarter of 2012. Gammaplex has historically taken periodic adjustments to its list pricing, roughly once per year. Since it's effective date, Gammaplex's average sales price has remained relatively stable, slowly increasing between 2014 and 2024. Gammaplex's ASP has historically been more than 20% below its WAC, indicating discounting from the manufacturer, Bio Products Laboratory.

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Gammaplex’s wholesale acquisition cost (WAC) information was last updated on:
February 19, 2024
Gammaplex’s average wholesale price (AWP) information was last updated on:
February 19, 2024