APELLIS PHARMACEUTICALS

SYFOVRE - Cost

Last Updated: April 1st, 2024

HCPCS:

J2781

HCPCS Code Descriptor:

Injection, pegcetacoplan, intravitreal, 1 mg

Medicare Payment Limit:

The SYFOVRE Medicare Payment Limit is $149.904

Average Sale Price:

SYFOVRE ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The SYFOVRE Medicare Co-insurance percentage is 20%. SYFOVRE's Medicare Co-insurance amount is $29.98 per HCPCS unit.

APC Code:

The Syfovre APC Code is: 9158

APC Payment Limit:

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

Syfovre Cost Information:

SYFOVRE, HCPCS J2781, became effective on October 1, 2023. From 2023 through 2024, WAC and AWP have remained constant. ASP experienced a minimal decrease of a couple percentage points during this time.

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Syfovre’s wholesale acquisition cost (WAC) information was last updated on:
February 17, 2023
Syfovre’s average wholesale price (AWP) information was last updated on:
February 17, 2023