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J9218 - HCPCS Level II | Verity

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HCPCS Level IIdrugActive

J9218

Leuprolide acetate injeciton

BETOS: O1D

Effective: 2023-01-01

Referenced in 4 policies

Description

Leuprolide acetate, per 1 mg

Drug Products

FDA-registered drug products mapped to this HCPCS code

LEUPROLIDE ACETATE (M.D.V.) 5 MG/ML

NDC: 00703-4014-19SC

Billing: ML

LEUPROLIDE ACETATE (MDV) 5 MG/ML

NDC: 47335-0936-40SC

Billing: EA

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Medicare Part B Drug Pricing

ASP-Based Payment

This drug code is paid under Medicare Part B using the Average Sales Price (ASP) + 6% methodology.

ASP pricing data not currently available for this code.

Coverage Policies

This code is referenced in 4 Medicare coverage policies

Sample Policies

AETNA-CPB-0079PayerPolicycovered

Benign Prostatic Hyperplasia

AETNA-CPB-0079PayerPolicycovered

Benign Prostatic Hyperplasia

+ 2 more policies

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About HCPCS Level II

Healthcare Common Procedure Coding System Level II codes for supplies, equipment, and non-physician services

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