Epoetin alfa, non-esrd
Products billed under this code include Epogen, Procrit.
Payment limit per 1000 UNITS, 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 J0885
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 |
|---|---|---|---|---|
| Epogen | Amgen Inc | 55513-0126-10 | 20 | $133.38 |
| Epogen | Amgen Inc | 55513-0126-20 | 20 | $133.38 |
| Epogen | Amgen Inc | 55513-0144-10 | 100 | $666.90 |
| Epogen | Amgen Inc | 55513-0148-10 | 40 | $266.76 |
| Epogen | Amgen Inc | 55513-0267-10 | 30 | $200.07 |
| Epogen | Amgen Inc | 55513-0267-20 | 30 | $200.07 |
| Epogen | Amgen Inc | 55513-0283-10 | 200 | $1,333.80 |
| Epogen | Amgen Inc | 55513-0283-20 | 200 | $1,333.80 |
| Epogen | Amgen Inc | 55513-0478-10 | 200 | $1,333.80 |
| Epogen | Amgen Inc | 55513-0478-20 | 200 | $1,333.80 |
Show all 18 products
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Procrit | Janssen Products, LP | 59676-0302-01 | 12 | $80.028 |
| Procrit | Janssen Products, LP | 59676-0303-01 | 18 | $120.042 |
| Procrit | Janssen Products, LP | 59676-0304-01 | 24 | $160.056 |
| Procrit | Janssen Products, LP | 59676-0310-01 | 60 | $400.14 |
| Procrit | Janssen Products, LP | 59676-0310-02 | 250 | $1,667.25 |
| Procrit | Janssen Products, LP | 59676-0312-04 | 80 | $533.52 |
| Procrit | Janssen Products, LP | 59676-0320-04 | 80 | $533.52 |
| Procrit | Janssen Products, LP | 59676-0340-01 | 160 | $1,067.04 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $6.669 | −$0.207 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted September 17, 2026 |
| 3Q26 | $6.876 | −$0.429 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted September 15, 2026 |
| 2Q26 | $7.305 | −$0.438 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted September 15, 2026 |
| 1Q26 | $7.743 | −$0.801 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted September 15, 2026 |
| 4Q25 | $8.544 | +$0.868 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted September 8, 2026 |
| 3Q25 | $7.676 | +$0.596 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted March 10, 2026 |
| 2Q25 | $7.08 | +$0.619 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted March 10, 2026 |
| 1Q25 | $6.461 | −$1.067 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted December 19, 2025 |
| 4Q24 | $7.528 | −$0.606 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted June 11, 2025 |
| 3Q24 | $8.134 | −$0.139 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted June 11, 2025 |
| 2Q24 | $8.273 | −$0.613 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted March 11, 2025 |
| 1Q24 | $8.886 | +$1.794 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted December 19, 2024 |
| 4Q23 | $7.092 | +$0.216 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted October 10, 2024 |
| 3Q23 | $6.876 | −$1.052 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted June 5, 2024 |
| 2Q23 | $7.928 | −$0.317 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted February 23, 2024 |
| 1Q23 | $8.245 | −$0.125 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted December 6, 2023 |
| 4Q22 | $8.37 | +$0.154 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted June 22, 2023 |
| 3Q22 | $8.216 | +$0.104 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted June 9, 2023 |
| 2Q22 | $8.112 | −$0.11 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted December 14, 2022 |
| 1Q22 | $8.222 | +$0.069 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted June 8, 2022 |
| 4Q21 | $8.153 | −$0.07 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted June 2, 2022 |
| 3Q21 | $8.223 | −$0.313 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted June 2, 2022 |
| 2Q21 | $8.536 | −$0.288 | 1000 UNITS | Epoetin alfa, non-esrd | v1, posted March 1, 2022 |
| 1Q21 | $8.824 | – | 1000 UNITS | Epoetin alfa, non-esrd | 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