X-gen Pharmaceuticals

STREPTOMYCIN SULFATE - Cost

Last Updated: April 1st, 2024

HCPCS:

J3000

HCPCS Code Descriptor:

Injection, streptomycin, up to 1 gm

Medicare Payment Limit:

The STREPTOMYCIN SULFATE Medicare Payment Limit is $23.062

Average Sale Price:

STREPTOMYCIN SULFATE ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The STREPTOMYCIN SULFATE Medicare Co-insurance percentage is 20%. STREPTOMYCIN SULFATE's Medicare Co-insurance amount is $4.61 per HCPCS unit.

APC Code:

The Streptomycin Sulfate APC Code is: not available

APC Payment Limit:

The APC Payment Limit for STREPTOMYCIN SULFATE is not available.

Streptomycin Sulfate Cost Information:

STREPTOMYCIN SULFATE, became effective on January 1, 1997 and is aligned to HCPCS J3000. in 2018, AWP and WAC increased substantially by over 100% and have remained constant at this level through 2024. ASP had several adjustments over this period but decreased back to prior levels at the beginning of 2024.

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Streptomycin Sulfate’s wholesale acquisition cost (WAC) information was last updated on:
February 5, 2018
Streptomycin Sulfate’s average wholesale price (AWP) information was last updated on:
February 5, 2018