Pfizer

HEPARIN SODIUM - Cost

Last Updated: April 1st, 2024

HCPCS:

J1643

HCPCS Code Descriptor:

Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units

Medicare Payment Limit:

The HEPARIN SODIUM Medicare Payment Limit is $4.339

Average Sale Price:

HEPARIN SODIUM ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The HEPARIN SODIUM Medicare Co-insurance percentage is 20%. HEPARIN SODIUM's Medicare Co-insurance amount is $0.87 per HCPCS unit.

APC Code:

The Heparin Sodium APC Code is: 9360

APC Payment Limit:

The APC Payment Limit for HEPARIN SODIUM is available. Login to view.

Heparin Sodium Cost Information:

HEPARIN SODIUM, a Pfizer product, became effective on January 1, 2023, and is aligned to HCPCS J1643. There are five NDCs mapped to J Code: J1643 with possible errors found within these alignments. In 2023, AWP and WAC experienced over a 90% decrease while ASP saw a less dramatic drop of an estimated 25%.

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Heparin Sodium’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2022
Heparin Sodium’s average wholesale price (AWP) information was last updated on:
January 1, 2022