J0896 — Injection, luspatercept-aamt, 0.25 mg

What the market charges

Across 2,039 negotiated rates, the middle 80% fall between $43 and $103, with a median of $57.

What Medicare pays

Medicare allowed an average of $40 for this code, across 301,368 services billed by 14 providers. At the median, the market charges 1.4 times what Medicare pays for this code.

Deploy this for your team

Every figure on this page came from published payer and Medicare data, assembled by Mishe. The same pricing, claim-editing and care-pathway intelligence runs underneath the plans Mishe operates.

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