Halozyme

HYLENEX - Cost

Last Updated: April 1st, 2024

HCPCS:

J3473

HCPCS Code Descriptor:

Injection, hyaluronidase, recombinant, 1 usp unit

Medicare Payment Limit:

The HYLENEX Medicare Payment Limit is $0.361

Average Sale Price:

HYLENEX ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The HYLENEX Medicare Co-insurance percentage is 20%. HYLENEX's Medicare Co-insurance amount is $0.07 per HCPCS unit.

APC Code:

The Hylenex APC Code is: not available

APC Payment Limit:

The APC Payment Limit for HYLENEX is not available.

Hylenex Cost Information:

HYLENEX, became effective on January 1, 2007 and is aligned to HCPCS J3473. From 2018 through 2024, prices have remained stagnant. As of 2024, WAC was trending around 8% higher than ASP.

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Hylenex’s wholesale acquisition cost (WAC) information was last updated on:
July 1, 2015
Hylenex’s average wholesale price (AWP) information was last updated on:
July 1, 2015