Home › Drug Codes › J Codes › J1602 · SIMPONI ARIA
Updated July 1st, 2026

SIMPONI ARIA J Code: J1602

Injection, golimumab, 1 mg, for intravenous use

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Q4 2026 Medicare Payment Limit for J1602, effective October 1, 2026: $10.978 per HCPCS billing unit, down 0.5% from $11.035. From CMS's final file.

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Medicare Payment Limit ?
$11.035
/ HCPCS billing unit · Q3 2026
APC Payment Limit ?
$11.035
/ HCPCS billing unit · APC 1475
ASP ?
$•••.••
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WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
1
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Drug & Product Overview

HCPCS Descriptor Injection, golimumab, 1 mg, for intravenous use
HCPCS Added Date January 1, 2014
Manufacturer Janssen
Route of Administration Intravenous
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Solution

About SIMPONI ARIA

Simponi ARIA is a medication aligned to the HCPCS J Code: J1602 for billing, pricing, and reimbursement purposes in the United States. This Immunology: Anti-TNF medication is administered via the intravenous route and manufactured by Janssen.

According to CMS Drug Use Information: This medication is used to treat certain types of arthritis (such as rheumatoid arthritis, psoriatic arthritis, polyarticular juvenile idiopathic arthritis, ankylosing spondylitis). Golimumab belongs to a class of drugs known as TNF blockers. It works by blocking a protein (tumor necrosis factor - TNF) in your body's immune system that causes joint swelling and damage. Golimumab helps slow joint damage and reduce joint pain/swelling so you can move better.

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

Based on publicly available CMS files. The list of NDCs below is not exhaustive.

NDC Code Drug Manufacturer Billing Units / Pkg Package Size
57894-0350-01 Simponi Aria Janssen Biotech, Inc. 50 50 MG / 4 ML
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SIMPONI ARIA Pricing & Reimbursement

J1602 Private Payer Reimbursement
$11.47 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

Historical Graphing and Billing Calculator

per HCPCS unit
As of Q3 2026

SIMPONI ARIA CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)
JW / JZ modifiers apply

CMS has identified Simponi ARIA (J1602) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

SIMPONI ARIA Medically Unlikely Edits (MUE)

The most billing units of J1602 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mg.

Practitioner Office & Hospital Outpatient
300 units / day
= 300 mg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

mg Enter a dose to see how many billing units it is and whether it is under the limit.

SIMPONI ARIA Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

Ankylosing Spondylitis Polyarticular Juvenile Idiopathic Arthritis Psoriatic Arthritis Rheumatoid Arthritis
Drug Class
Tumor Necrosis Factor Blocker [EPC]Tumor Necrosis Factor Receptor Blocking Activity [MoA]

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Frequently Asked Questions

Is there an available Simponi Aria billing and coding guide?
Billing and coding information for SIMPONI ARIA can be found through Janssen. Visit Here →
Are there any available Simponi Aria patient assistance programs?
SIMPONI ARIA patient assistance information can be found through Janssen. Visit Here →
Where can I find Simponi Aria prescribing information?
SIMPONI ARIA prescribing information can be found at the link below: Visit Here →
Where can I find Simponi Aria side effect information?
Information regarding SIMPONI ARIA's side effects can be found at MedlinePlus Visit Here →
Does billing SIMPONI ARIA require JZ/JW wastage modifiers?
CMS has identified SIMPONI ARIA(J1602) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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