Astellas Pharma

LEXISCAN - Cost

Last Updated: April 1st, 2024

HCPCS:

J2785

HCPCS Code Descriptor:

Injection, regadenoson, 0.1 mg

Medicare Payment Limit:

The LEXISCAN Medicare Payment Limit is $7.051

Average Sale Price:

LEXISCAN ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The LEXISCAN Medicare Co-insurance percentage is 20%. LEXISCAN's Medicare Co-insurance amount is $1.41 per HCPCS unit.

APC Code:

The Lexis:can APC Code is: not available

APC Payment Limit:

The APC Payment Limit for LEXISCAN is not available.

Lexiscan Cost Information:

Lexiscan's J Code: J2785 was added on January 1st 2009 but did not become effective until January 1st, 2014. Between its effective date in 2014 and early 2023, Lexiscan took incremental, minor changes to its WAC and AWP list prices and it's ASP steadily trailed the WAC price within a 5-10% margin. However, beginning in April 2023 multiple generic NDCs were released for Lexiscan driving down the WAC price by roughly 80% within just a few months. A drastic decline in ASP closely followed the release of generic NDCs.

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Lexiscan’s wholesale acquisition cost (WAC) information was last updated on:
February 16, 2024
Lexiscan’s average wholesale price (AWP) information was last updated on:
February 16, 2024