Genentech

HERCEPTIN - Cost

Last Updated: April 1st, 2024

HCPCS:

J9355

HCPCS Code Descriptor:

Injection, trastuzumab, excludes biosimilar, 10 mg

Medicare Payment Limit:

The HERCEPTIN Medicare Payment Limit is $80.048

Average Sale Price:

HERCEPTIN ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The HERCEPTIN Medicare Co-insurance percentage is 20%. HERCEPTIN's Medicare Co-insurance amount is $16.01 per HCPCS unit.

APC Code:

The Herceptin APC Code is: 1613

APC Payment Limit:

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

Herceptin Cost Information:

HERCEPTIN, became effective on July 1, 2019 and is aligned to HCPCS J9355. There are two NDCs mapped to J9355 with potential errors or discrepancies found amongst both of these alignments. From 2022 to 2024, WAC and AWP have remained level. ASP experienced a slight decrease of around 5% during this time.

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

Herceptin Cost Graph: