Eculizumab injection
This code is not in the latest file (4Q26). It was last listed in 1Q25.
Payment limit per 10 MG, by effective quarter, 1Q21 to 1Q25. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.This code is not in the latest file (4Q26). It was last listed in 1Q25.
Payment limit per 10 MG, by effective quarter, 1Q21 to 1Q25. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.No NDCs mapped to this code in the 4Q26 crosswalk.
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 1Q25 | $224.159 | −$0.474 | 10 MG | Eculizumab injection | v1, posted December 19, 2025 |
| 4Q24 | $224.633 | −$0.837 | 10 MG | Eculizumab injection | v1, posted June 11, 2025 |
| 3Q24 | $225.47 | −$0.233 | 10 MG | Eculizumab injection | v1, posted June 11, 2025 |
| 2Q24 | $225.703 | +$0.018 | 10 MG | Eculizumab injection | v1, posted March 11, 2025 |
| 1Q24 | $225.685 | +$0.422 | 10 MG | Eculizumab injection | v1, posted December 19, 2024 |
| 4Q23 | $225.263 | −$0.528 | 10 MG | Eculizumab injection | v1, posted October 10, 2024 |
| 3Q23 | $225.791 | −$0.418 | 10 MG | Eculizumab injection | v1, posted June 5, 2024 |
| 2Q23 | $226.209 | −$0.829 | 10 MG | Eculizumab injection | v1, posted February 23, 2024 |
| 1Q23 | $227.038 | −$0.666 | 10 MG | Eculizumab injection | v1, posted December 6, 2023 |
| 4Q22 | $227.704 | −$0.311 | 10 MG | Eculizumab injection | v1, posted June 22, 2023 |
| 3Q22 | $228.015 | −$0.508 | 10 MG | Eculizumab injection | v1, posted June 9, 2023 |
| 2Q22 | $228.523 | −$0.42 | 10 MG | Eculizumab injection | v1, posted December 14, 2022 |
| 1Q22 | $228.943 | −$0.285 | 10 MG | Eculizumab injection | v1, posted June 8, 2022 |
| 4Q21 | $229.228 | −$0.543 | 10 MG | Eculizumab injection | v1, posted June 2, 2022 |
| 3Q21 | $229.771 | −$0.292 | 10 MG | Eculizumab injection | v1, posted June 2, 2022 |
| 2Q21 | $230.063 | −$0.253 | 10 MG | Eculizumab injection | v1, posted March 1, 2022 |
| 1Q21 | $230.316 | – | 10 MG | Eculizumab injection | 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.