What is CPT code J2505 used for?

Medicare covers the use of Pegfilgrastim (Neulasta), J2505, to decrease the incidence of infection, as manifested by febrile neutropenia in patients with nonmyeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a clinically significant incidence of febrile neutropenia.

What is ASP drug pricing?

For each billing code, CMS calculates a weighted average sales price using the Average Sales Price (ASP) data submitted by manufacturers. Manufacturers submit ASP data at the 11-digit National Drug Code (NDC) level. Manufacturers submit the number of units of the 11-digit NDC sold and the ASP for those units.

When was J2505 deleted?

Under CPT/HCPCS Codes deleted the HCPCS code J2505 and added CPT Code 96377. This revision is due to the 2017 Annual CPT/HCPCS Update and becomes effective .

Does Medicare pay for Neulasta Onpro?

The majority of commercial and Medicare plans cover Neulasta® and Neulasta® Onpro.

What is pegfilgrastim 6 mg used for?

Pegfilgrastim injection products are used to reduce the chance of infection in people who have certain types of cancer and are receiving chemotherapy medications that may decrease the number of neutrophils (a type of blood cell needed to fight infection).

How is ASP calculated?

Summary. The average selling price (ASP) is a term that refers to the average price a good or service is sold for. ASP is simply calculated by dividing the total revenue earned by the total number of units sold.

How much does Neulasta patch cost?

Actual cost may vary depending on dose, insurance coverage, and eligibility for support programs. As of 08/18/2021 the list price for Neulasta® is $6,417.99† per dose. Neulasta® is a single dose administered once per chemotherapy cycle. Most patients do not pay the list price.

How much does Neulasta cost without insurance?

Amgen is committed to help ensure you will be able to get Neulasta® Onpro® at an affordable cost. As of 08/18/2021 the list price for Neulasta® is $6,417.99* per dose. Neulasta® is a single dose administered once per chemotherapy cycle.

How is RITUXAN billed?

The RUXIENCE HCPCS code Q5119 is described as “Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg.” Each dose increment of 10 milligrams equals 1 billing unit. For example, a 100 mg vial of RUXIENCE represents 10 billing units of Q5119.

How much does pegfilgrastim cost?

As of 08/18/2021 the list price for Neulasta® is $6,417.99* per dose. Neulasta® is a single dose administered once per chemotherapy cycle. Most patients do not pay the list price.

What is pegfilgrastim 6mg injection?

Where can I find the ASP price?

The ASP Data Collection System began collecting Average Sales Price data for Part B drugs on April 1, 2019. Please visit https://portal.cms.gov to register for the system.

How is ASP pricing determined?

ASP, in contrast, is a manufacturer’s average price to all purchasers, net of discounts, rebates, chargebacks, and credits for drugs. ASP is determined using manufacturers’ sales reports, which include information on total units sold and total revenue for each drug, and is subject to audit by Medicare.