Pharming

RUCONEST - Cost

Last Updated: April 1st, 2024

HCPCS:

J0596

HCPCS Code Descriptor:

Injection, c1 esterase inhibitor (recombinant), ruconest, 10 units

Medicare Payment Limit:

The RUCONEST Medicare Payment Limit is $33.4

Average Sale Price:

RUCONEST ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The RUCONEST Medicare Co-insurance percentage is 20%. RUCONEST's Medicare Co-insurance amount is $6.68 per HCPCS unit.

APC Code:

The Ruconest APC Code is: 9445

APC Payment Limit:

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

Ruconest Cost Information:

RUCONEST, HCPCS J0596, became effective on January 1, 2016. From 2018 through 2024, prices have trended slightly upwards every year by around one percent. ASP has increased as well during this time yet, remains slightly below WAC.

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