Flebogamma injection
This code is not in the latest file (4Q26). It was last listed in 3Q23.
Payment limit per 500 MG, by effective quarter, 1Q21 to 3Q23. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under J1572
No NDCs mapped to this code in the 4Q26 crosswalk.
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 3Q23 | $56.116 | +$11.576 | 500 MG | Flebogamma injection | v1, posted June 5, 2024 |
| 2Q23 | $44.54 | +$3.006 | 500 MG | Flebogamma injection | v1, posted February 23, 2024 |
| 1Q23 | $41.534 | +$1.664 | 500 MG | Flebogamma injection | v1, posted December 6, 2023 |
| 4Q22 | $39.87 | −$0.652 | 500 MG | Flebogamma injection | v1, posted June 22, 2023 |
| 3Q22 | $40.522 | +$1.806 | 500 MG | Flebogamma injection | v1, posted June 9, 2023 |
| 2Q22 | $38.716 | +$2.823 | 500 MG | Flebogamma injection | v1, posted December 14, 2022 |
| 1Q22 | $35.893 | −$0.911 | 500 MG | Flebogamma injection | v1, posted June 8, 2022 |
| 4Q21 | $36.804 | +$2.091 | 500 MG | Flebogamma injection | v1, posted June 2, 2022 |
| 3Q21 | $34.713 | −$1.366 | 500 MG | Flebogamma injection | v1, posted June 2, 2022 |
| 2Q21 | $36.079 | −$0.78 | 500 MG | Flebogamma injection | v1, posted March 1, 2022 |
| 1Q21 | $36.859 | – | 500 MG | Flebogamma 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.
CMS source files
- 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