HCPCS Level IIdrugActive
J9281
Mitomycin instillation
BETOS: O1D
Effective: 2021-01-01
Description
Mitomycin pyelocalyceal instillation, 1 mg
Medicare Part B Drug Pricing
Average Sales Price (ASP) data for Q1 2026
Drug Name
Jelmyto
Manufacturer
UroGen Pharma
HCPCS Dosage
1 MG
Billing Units
40.0000
1
NDC Products
asp
Pricing Source
Medicare Part B drugs are reimbursed at ASP + 6%. Pricing updates quarterly based on manufacturer-reported data.