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Orthosvisc - Cost

Last Updated: April 1st, 2024



HCPCS Code Descriptor:

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose

Medicare Payment Limit:

The Orthosvisc Medicare Payment Limit is $131.561

Average Sale Price:

Orthosvisc ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Orthosvisc Medicare Co-insurance percentage is 20%. Orthosvisc's Medicare Co-insurance amount is $26.31 per HCPCS unit.

APC Code:

The Orthosvis:c APC Code is: 0877

APC Payment Limit:

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

Orthosvisc Cost Information:

Orthosvisc, became effective on January 1, 2008, and is aligned to HCPCS J7324. From 2018 through 2024, WAC and AWP have remained level. ASP had a slight decrease in 2019 but quickly rebounded back to prior levels. At the beginning of 2024, ASP was an estimated 75% below WAC.


Orthosvisc’s wholesale acquisition cost (WAC) information was last updated on:
October 3, 2019
Orthosvisc’s average wholesale price (AWP) information was last updated on:
October 3, 2019