HCPCS Level IIdrugActive
J9220
Indigotindisulfonate sod 1mg
BETOS: I1E
Effective: 2025-07-01
Referenced in 2 policies
Description
Injection, indigotindisulfonate sodium, 1 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Bludigo
Manufacturer
Apollo Pharmaceuticals
HCPCS Dosage
1 MG
Billing Units
40.0000
1
NDC Products
opps
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.