Inj givosiran 0.5 mg
Products billed under this code include Givlaari.
Payment limit per 0.5 MG, by effective quarter, 1Q21 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under J0223
From the 4Q26 NDC–HCPCS crosswalk. “Limit / pkg” is the 4Q26 payment limit times the billing units in one package.
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Givlaari | Alnylam Pharmaceuticals, Inc. | 71336-1001-01 | 378 | $45,641.232 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $120.744 | −$0.171 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted September 17, 2026 |
| 3Q26 | $120.915 | −$0.068 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted September 15, 2026 |
| 2Q26 | $120.983 | +$0.298 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted September 15, 2026 |
| 1Q26 | $120.685 | +$3.325 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted September 15, 2026 |
| 4Q25 | $117.36 | +$0.17 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted September 8, 2026 |
| 3Q25 | $117.19 | +$0.719 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted March 10, 2026 |
| 2Q25 | $116.471 | +$1.005 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted March 10, 2026 |
| 1Q25 | $115.466 | +$3.331 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted December 19, 2025 |
| 4Q24 | $112.135 | −$0.144 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted June 11, 2025 |
| 3Q24 | $112.279 | +$0.259 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted June 11, 2025 |
| 2Q24 | $112.02 | −$0.06 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted March 11, 2025 |
| 1Q24 | $112.08 | −$0.016 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted December 19, 2024 |
| 4Q23 | $112.096 | −$0.39 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted October 10, 2024 |
| 3Q23 | $112.486 | +$2.755 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted June 5, 2024 |
| 2Q23 | $109.731 | −$0.086 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted February 23, 2024 |
| 1Q23 | $109.817 | −$0.063 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted December 6, 2023 |
| 4Q22 | $109.88 | +$1.921 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted June 22, 2023 |
| 3Q22 | $107.959 | +$1.301 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted June 9, 2023 |
| 2Q22 | $106.658 | −$0.009 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted December 14, 2022 |
| 1Q22 | $106.667 | −$0.093 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted June 8, 2022 |
| 4Q21 | $106.76 | +$0.004 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted June 2, 2022 |
| 3Q21 | $106.756 | −$0.023 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted June 2, 2022 |
| 2Q21 | $106.779 | −$0.101 | 0.5 MG | Inj givosiran 0.5 mg | v1, posted March 1, 2022 |
| 1Q21 | $106.88 | – | 0.5 MG | Inj givosiran 0.5 mg | v1, posted December 10, 2021 |
“Change” is the difference from the previous quarter, shown only when both quarters have a payment limit and the billing unit is the same. “vs. last quarter” and “vs. a year ago” follow the same rule.
CMS source files
- 4Q26: 2026-09-17_october-2026-medicare-part-b-payment-limit-files-final.zipposted September 17, 2026
- 4Q26: 2026-09-17_october-2026-ndc-hcpcs-crosswalk-final.zipposted September 17, 2026
- 3Q26: 2026-09-15_july-2026-medicare-part-b-payment-limit-files.zipposted September 15, 2026
- 2Q26: 2026-09-15_april-2026-medicare-part-b-payment-limit-files-final-file.zipposted September 15, 2026
- 1Q26: 2026-09-15_january-2026-medicare-part-b-payment-limit-files.zipposted September 15, 2026
- 4Q25: 2026-09-08_october-2025-asp-pricing-final-file.zipposted September 8, 2026
- 3Q25: 2026-03-10_july-2025-asp-pricing-file.zipposted March 10, 2026
- 2Q25: 2026-03-10_april-2025-asp-pricing-file.zipposted March 10, 2026
- 1Q25: 2025-12-19_january-2025-asp-pricing-file-03-11-25-final-file.zipposted December 19, 2025
- 4Q24: 2025-06-11_october-2024-asp-pricing-file.zipposted June 11, 2025
- 3Q24: 2025-06-11_july-2024-asp-pricing-file.zipposted June 11, 2025
- 2Q24: 2025-03-11_april-2024-asp-pricing-file.zipposted March 11, 2025
- 1Q24: 2024-12-19_january-2024-asp-pricing-file.zipposted December 19, 2024
- 4Q23: 2024-10-10_october-2023-asp-pricing-file.zipposted October 10, 2024
- 3Q23: 2024-06-05_july-2023-asp-pricing-file.zipposted June 5, 2024
- 2Q23: 2024-02-23_april-2023-asp-pricing-file.zipposted February 23, 2024
- 1Q23: 2023-12-06_january-2023-asp-pricing-file.zipposted December 6, 2023
- 4Q22: 2023-06-22_october-2022-asp-pricing-file.zipposted June 22, 2023
- 3Q22: 2023-06-09_july-2022-asp-pricing-file.zipposted June 9, 2023
- 2Q22: 2022-12-14_april-2022-asp-pricing-file.zipposted December 14, 2022
- 1Q22: 2022-06-08_january-2022-asp-pricing-file.zipposted June 8, 2022
- 4Q21: 2022-06-02_october-2021-asp-pricing-file.zipposted June 2, 2022
- 3Q21: 2022-06-02_july-2021-asp-pricing-file.zipposted June 2, 2022
- 2Q21: 2022-03-01_april-2021-asp-pricing-file.zipposted March 1, 2022
- 1Q21: 2021-12-10_january-2021-asp-pricing-file.zipposted December 10, 2021