Calculate Your Current Medicare IVIG/SCIG Rates
Medicare reimbursement for physician office and hospital outpatient facilities is based on the Average Sales Price (ASP). These facilities currently qualify for the following ASP-based payment rate:
ASP + 6%
Note: Ordinarily, the effective rate would be calculated at ASP + 4.3% after sequestration is taken into account (2% sequestration reduction applied to 80% Medicare payment portion as required under the Budget Control Act of 2011). However, the Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the Medicare 2% sequestration adjustment for all Medicare Fee-For-Service claims from May 1 through December 31, 2020, and the Consolidated Appropriations Act, 2021 has extended this suspension of the 2% sequestration through March 31, 2021.
Enter your data below in these fields (*) to calculate your reimbursement for Quarter 1, 2021. Rates per gram are effective January 1, 2021, through March 31, 2021.