Fidia Pharma

HYALGAN - Cost

Last Updated: April 1st, 2024

HCPCS:

J7321

HCPCS Code Descriptor:

Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose

Medicare Payment Limit:

The HYALGAN Medicare Payment Limit is $73.118

Average Sale Price:

HYALGAN ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The HYALGAN Medicare Co-insurance percentage is 20%. HYALGAN's Medicare Co-insurance amount is $14.62 per HCPCS unit.

APC Code:

The Hyalgan APC Code is: not available

APC Payment Limit:

The APC Payment Limit for HYALGAN is not available.

Hyalgan Cost Information:

HYALGAN, became effective on April 1, 2021, and is associated with HCPCS J7321. HYALGAN has four NDCs aligned to J Code: J7321 with potential errors or discrepancies found within all of these mappings. In between 2022 and 2024, WAC and AWP remained level while ASP experienced both slight increase and decreases. At the beginning of 2024, ASP was around 30% less than WAC.

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Hyalgan’s wholesale acquisition cost (WAC) information was last updated on:
December 20, 2021
Hyalgan’s average wholesale price (AWP) information was last updated on:
December 20, 2021