Acrotech

Khapzory - Cost

Last Updated: April 1st, 2024

HCPCS:

J0642

HCPCS Code Descriptor:

Injection, levoleucovorin (khapzory), 0.5 mg

Medicare Payment Limit:

The Khapzory Medicare Payment Limit is $1.709

Average Sale Price:

Khapzory ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Khapzory Medicare Co-insurance percentage is 20%. Khapzory's Medicare Co-insurance amount is $0.34 per HCPCS unit.

APC Code:

The Khapzory APC Code is: 9334

APC Payment Limit:

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

Khapzory Cost Information:

Khapzory, manufactured by Acrotech, became effective on January 1, 2023 and is aligned to HCPCS J0642. Khapzory has four NDCs mapped to J Code: J0642. Pricing has been stagnant between WAC and AWP while ASP has been more volatile with the latest being an upward trend of a couple percentage points.

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