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Saphnelo - Cost

Last Updated: April 1st, 2024

HCPCS:

J0491

HCPCS Code Descriptor:

Injection, anifrolumab-fnia, 1 mg

Medicare Payment Limit:

The Saphnelo Medicare Payment Limit is $17.135

Average Sale Price:

Saphnelo ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The Saphnelo Medicare Co-insurance percentage is 20%. Saphnelo's Medicare Co-insurance amount is $3.43 per HCPCS unit.

APC Code:

The Saphnelo APC Code is: 9434

APC Payment Limit:

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

Saphnelo Cost Information:

Saphnelo's HCPCS code, J0491, was added and became effective on April 1, 2022. Saphnelo's WAC has seen some very slight price increases every few months since being added in April 2022, but has remained within about 10% of it's original price. The WAC has followed along the same trend, very slight increases every few months, but no drastic increases. The ASP began at the same price as the WAC, but has risen more slowly. The ASP has stayed within 5% of the WAC.

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