Genentech

Phesgo - Cost

Last Updated: April 1st, 2024

HCPCS:

J9316

HCPCS Code Descriptor:

Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg

Medicare Payment Limit:

The Phesgo Medicare Payment Limit is $65.324

Average Sale Price:

Phesgo ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Phesgo Medicare Co-insurance percentage is 20%. Phesgo's Medicare Co-insurance amount is $13.06 per HCPCS unit.

APC Code:

The Phesgo APC Code is: 9390

APC Payment Limit:

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

Phesgo Cost Information:

Phesgo's HCPCS code, J9316, became effective in January of 2021. Between January 2021 and January 2024, Phesgo has not taken any list price increases. The ASP for Phesgo was first published in April 2021 and has closely trailed Phesgo's WAC list price.

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Phesgo’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2024
Phesgo’s average wholesale price (AWP) information was last updated on:
July 6, 2020