Inj tofersen intrathec 1 mg
Products billed under this code include Qalsody.
Payment limit per 1 MG, by effective quarter, 1Q24 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under J1304
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 |
|---|---|---|---|---|
| Qalsody | Biogen Inc. | 64406-0109-01 | 100 | $16,481.20 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $164.812 | −$0.004 | 1 MG | Inj tofersen intrathec 1 mg | v1, posted September 17, 2026 |
| 3Q26 | $164.816 | +$4.806 | 1 MG | Inj tofersen intrathec 1 mg | v1, posted September 15, 2026 |
| 2Q26 | $160.01 | +$0.001 | 1 MG | Inj tofersen intrathec 1 mg | v1, posted September 15, 2026 |
| 1Q26 | $160.009 | +$0.608 | 1 MG | Inj tofersen intrathec 1 mg | v1, posted September 15, 2026 |
| 4Q25 | $159.401 | +$4.061 | 1 MG | Inj tofersen intrathec 1 mg | v1, posted September 8, 2026 |
| 3Q25 | $155.34 | +$0.003 | 1 MG | Inj tofersen intrathec 1 mg | v1, posted March 10, 2026 |
| 2Q25 | $155.337 | −$0.001 | 1 MG | Inj tofersen intrathec 1 mg | v1, posted March 10, 2026 |
| 1Q25 | $155.338 | +$1.674 | 1 MG | Inj tofersen intrathec 1 mg | v1, posted December 19, 2025 |
| 4Q24 | $153.664 | +$2.837 | 1 MG | Inj tofersen intrathec 1 mg | v1, posted June 11, 2025 |
| 3Q24 | $150.827 | −$0.011 | 1 MG | Inj tofersen intrathec 1 mg | v1, posted June 11, 2025 |
| 2Q24 | $150.838 | $0.00 | 1 MG | Inj tofersen intrathec 1 mg | v1, posted March 11, 2025 |
| 1Q24 | $150.838 | – | 1 MG | Inj tofersen intrathec 1 mg | v1, posted December 19, 2024 |
“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