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VPRIV - Cost

Last Updated: April 1st, 2024

HCPCS:

J3385

HCPCS Code Descriptor:

Injection, velaglucerase alfa, 100 units

Medicare Payment Limit:

The VPRIV Medicare Payment Limit is $367.841

Average Sale Price:

VPRIV ASP cost available once logged in.

Medicare Co-Insurance Percentage:

The VPRIV Medicare Co-insurance percentage is 20%. VPRIV's Medicare Co-insurance amount is $73.57 per HCPCS unit.

APC Code:

The Vpriv APC Code is: 9271

APC Payment Limit:

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

Vpriv Cost Information:

VPRIV, HCPCS J3385, became effective on January 1, 2011. From 2022 through 2024, WAC and ASP rose slightly by a few percentage points. Beginning in 2024, AWP trended significantly above ASP by an estimated 20%.

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Vpriv’s wholesale acquisition cost (WAC) information was last updated on:
January 1, 2023
Vpriv’s average wholesale price (AWP) information was last updated on:
January 1, 2023