CSL Behring

IDELVION - Cost

Last Updated: April 1st, 2024

HCPCS:

J7202

HCPCS Code Descriptor:

Injection, factor ix, albumin fusion protein, (recombinant), idelvion, 1 i.u.

Medicare Payment Limit:

The IDELVION Medicare Payment Limit is $5.091

Average Sale Price:

IDELVION ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The IDELVION Medicare Co-insurance percentage is 20%. IDELVION's Medicare Co-insurance amount is $1.02 per HCPCS unit.

APC Code:

The Idelvion APC Code is: 9171

APC Payment Limit:

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

Idelvion Cost Information:

IDELVION, HCPCS J7202, became effective on January 1, 2017. IDELVION has five NDCs mapped to J7202. Pricing has generally increased annually by a couple percent. Through 2024, ASP remains close to WAC showing strong indication of little to no discount available.

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Idelvion’s wholesale acquisition cost (WAC) information was last updated on:
October 1, 2023
Idelvion’s average wholesale price (AWP) information was last updated on:
October 1, 2023