HCPCS Level IIdrugActive

J2002

Inj, lidocaine in d5w, 1 mg

BETOS: O1E

Effective: 2025-01-01

Description

Injection, lidocaine hcl in 5% dextrose, 1 mg

Medicare Part B Drug Pricing

Average Sales Price (ASP) data for Q1 2026

Drug Name

Lidocaine In D5W

Manufacturer

B. Braun Medical Inc.

HCPCS Dosage

1 MG

Billing Units

2000.0000

NDC Products

asp

Pricing Source

Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.