HCPCS 50242014301 Prescription Drug - Brand
ACTEMRA ACTPEN 162 MG/0.9 ML Cost
Body System: General
Medicare Facility Rate
$1,279
CMS PFS CY2026
Medicare Non-Facility Rate
$1,279
Office/clinic setting
Frequently Asked Questions
How much does ACTEMRA ACTPEN 162 MG/0.9 ML cost?
The Medicare facility rate is $1,279. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does ACTEMRA ACTPEN 162 MG/0.9 ML cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $1,279.