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MITOMYCIN - Cost

Last Updated: April 1st, 2024

HCPCS:

J9280

HCPCS Code Descriptor:

Injection, mitomycin, 5 mg

Medicare Payment Limit:

The MITOMYCIN Medicare Payment Limit is $67.031

Average Sale Price:

MITOMYCIN ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The MITOMYCIN Medicare Co-insurance percentage is 20%. MITOMYCIN's Medicare Co-insurance amount is $13.41 per HCPCS unit.

APC Code:

The Mitomycin APC Code is: 1232

APC Payment Limit:

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

Mitomycin Cost Information:

MITOMYCIN, became effective on January 1, 2013, and is aligned to HCPCS J9280. MITOMYCIN has 36 NDCs mapped to J Code: J9280 with multiple potential errors found amongst these alignments. Between 2020 and early 2023, WAC and AWP remained constant while ASP experienced a downward decline. Towards the end of 2023, WAC and AWP decreased substantially by nearly 85%.

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Mitomycin’s wholesale acquisition cost (WAC) information was last updated on:
February 15, 2024
Mitomycin’s average wholesale price (AWP) information was last updated on:
February 15, 2024

Mitomycin Cost Graph: