Sun Pharma

LEVULAN - Cost

Last Updated: April 1st, 2024

HCPCS:

J7308

HCPCS Code Descriptor:

Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)

Medicare Payment Limit:

The LEVULAN Medicare Payment Limit is $396.534

Average Sale Price:

LEVULAN ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The LEVULAN Medicare Co-insurance percentage is 20%. LEVULAN's Medicare Co-insurance amount is $79.31 per HCPCS unit.

APC Code:

The Levulan APC Code is: 7308

APC Payment Limit:

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

Levulan Cost Information:

LEVULAN, HCPCS J7308, became effective on January 1, 2004. There are two NDCs aligned to J Code: J7308. Prices trended upwards between 2022 and 2024. AWP and WAC had increases of a few percentage points in 2023. ASP has been more constant only increasing by a percent at the start of 2024.

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