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HIZENTRA - Cost

Last Updated: April 1st, 2024

HCPCS:

J1559

HCPCS Code Descriptor:

Injection, immune globulin (hizentra), 100 mg

Medicare Payment Limit:

The HIZENTRA Medicare Payment Limit is $12.907

Average Sale Price:

HIZENTRA ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The HIZENTRA Medicare Co-insurance percentage is 20%. HIZENTRA's Medicare Co-insurance amount is $2.58 per HCPCS unit.

APC Code:

The Hizentra APC Code is: 1312

APC Payment Limit:

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

Hizentra Cost Information:

HIZENTRA, became effective on January 1, 2011 and is aligned to J Code: J1559. HIZENTRA has eight NDCs mapped to HCPCS J1559 with no issues found. Historic pricing shows an upward swing annually. These increases are minimal often just a few percentage points. Through 2024, ASP has remained constant at nearly 45% below WAC.

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Hizentra’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2024
Hizentra’s average wholesale price (AWP) information was last updated on:
January 1, 2024