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POTELIGEO - Cost

Last Updated: April 1st, 2024

HCPCS:

J9204

HCPCS Code Descriptor:

Injection, mogamulizumab-kpkc, 1 mg

Medicare Payment Limit:

The POTELIGEO Medicare Payment Limit is $234.165

Average Sale Price:

POTELIGEO ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The POTELIGEO Medicare Co-insurance percentage is 20%. POTELIGEO's Medicare Co-insurance amount is $46.83 per HCPCS unit.

APC Code:

The Poteligeo APC Code is: 9182

APC Payment Limit:

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

Poteligeo Cost Information:

POTELIGEO, became effective on October 1, 2019 and is associated with HCPCS J9204. Prices have adjusted upwards by a few percent every six months from 2022. At the start of 2024, ASP trended around 2% below WAC.

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Poteligeo’s wholesale acquisition cost (WAC) information was last updated on:
January 3, 2024
Poteligeo’s average wholesale price (AWP) information was last updated on:
January 3, 2024

Poteligeo Cost Graph: