Grifols

PROFILNINE - Cost

Last Updated: April 1st, 2024

HCPCS:

J7194

HCPCS Code Descriptor:

Factor ix, complex, per i.u.

Medicare Payment Limit:

The PROFILNINE Medicare Payment Limit is $1.61

Average Sale Price:

PROFILNINE ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The PROFILNINE Medicare Co-insurance percentage is 20%. PROFILNINE's Medicare Co-insurance amount is $0.32 per HCPCS unit.

APC Code:

The Profilnine APC Code is: 0928

APC Payment Limit:

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

Profilnine Cost Information:

PROFILNINE, HCPCS J7194, became effective on January 1, 1998 and has nine NDCs aligned to J Code: J7194. A few potential errors were found within these mappings. Between 2017 and 2019, WAC and AWP had no change while ASP continually increased during this time period. ASP has continued its upward trend by increasing by nearly 10% through 2024.

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