Calculate Your Current Medicare IVIG/SCIG Reimbursement Rates
Intravenous (IVIG) & Subcutaneous (SCIG)
Immune Globulin Products
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, due to the passage of the Protecting Medicare and American Farmers from Sequester Cuts Act in December that provides temporary relief to the looming Medicare provider cuts, ASP +4.3% applies only after April 1, 2022, after which a 1% reduction in payment will apply until July 1, 2022, unless further Congressional action is taken to extend the moratorium.
Enter your data below in these fields (*) to calculate your reimbursement for Quarter 3, 2023. Rates per gram are effective July 1, 2023, through September 30, 2023.
Note* IVIG Reimbursement Calculator has been updated with the latest Rates as per BSTQ Magazine Q3 2023.