Inj, esmolol hcl, 10mg
Products billed under this code include Brevibloc, Brevibloc In Nacl, Esmolol HCl.
Payment limit per 10 MG, by effective quarter, 3Q23 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under this code include Brevibloc, Brevibloc In Nacl, Esmolol HCl.
Payment limit per 10 MG, by effective quarter, 3Q23 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.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 |
|---|---|---|---|---|
| Brevibloc | Henry Schein Inc. | 00404-9825-10 | 10 | $2.46 |
| Brevibloc | Baxter Healthcare Corporation | 10019-0075-87 | 200 | $49.20 |
| Brevibloc | Baxter Healthcare Corporation | 10019-0115-01 | 250 | $61.50 |
| Brevibloc | Baxter Healthcare Corporation | 10019-0666-10 | 2000 | $492.00 |
| Brevibloc | Baxter Healthcare Corporation | 10019-0668-10 | 2000 | $492.00 |
| Brevibloc | Baxter Healthcare Corporation | 10019-0670-10 | 2500 | $615.00 |
| Brevibloc | Baxter Healthcare Corporation | 10019-0672-10 | 2500 | $615.00 |
| Brevibloc In Nacl | Baxter Healthcare Corporation | 10019-0055-61 | 250 | $61.50 |
| Esmolol HCl | Henry Schein Inc. | 00404-9785-10 | 10 | $2.46 |
| Esmolol HCl | Henry Schein Inc. | 00404-9858-10 | 10 | $2.46 |
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Esmolol HCl | Baxter Healthcare Corporation | 10019-0120-01 | 250 | $61.50 |
| Esmolol HCl | Sagent Pharmaceuticals | 25021-0308-84 | 2500 | $615.00 |
| Esmolol HCl | Sagent Pharmaceuticals | 25021-0309-82 | 2000 | $492.00 |
| Esmolol HCl | Sagent Pharmaceuticals | 25021-0314-10 | 100 | $24.60 |
| Esmolol HCl | WG Critical Care, LLC | 44567-0450-10 | 2500 | $615.00 |
| Esmolol HCl | WG Critical Care, LLC | 44567-0451-10 | 2000 | $492.00 |
| Esmolol HCl | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1444-01 | 10 | $2.46 |
| Esmolol HCl | HF Acquisition Co. LLC, DBA HealthFirst | 51662-1444-03 | 250 | $61.50 |
| Esmolol HCl | Eugia US LLC | 55150-0194-10 | 250 | $61.50 |
| Esmolol HCl | Eugia US LLC | 55150-0420-10 | 2500 | $615.00 |
| Esmolol HCl | Eugia US LLC | 55150-0421-10 | 2000 | $492.00 |
| Esmolol HCl | FreseniUS Kabi USA, LLC | 63323-0652-10 | 250 | $61.50 |
| Esmolol HCl | Mylan Institutional LLC | 67457-0182-10 | 100 | $24.60 |
| Esmolol HCl | Mylan Institutional LLC | 67457-0657-25 | 2500 | $615.00 |
| Esmolol HCl | Mylan Institutional LLC | 67457-0658-10 | 2000 | $492.00 |
| Esmolol HCl | Amneal Pharmaceuticals, LLC | 70121-1716-07 | 2500 | $615.00 |
| Esmolol HCl | Amneal Pharmaceuticals, LLC | 70121-1717-07 | 2000 | $492.00 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.246 | +$0.016 | 10 MG | Inj, esmolol hcl, 10mg | v1, posted September 17, 2026 |
| 3Q26 | $0.23 | −$0.006 | 10 MG | Inj, esmolol hcl, 10mg | v1, posted September 15, 2026 |
| 2Q26 | $0.236 | +$0.024 | 10 MG | Inj, esmolol hcl, 10mg | v1, posted September 15, 2026 |
| 1Q26 | $0.212 | −$0.006 | 10 MG | Inj, esmolol hcl, 10mg | v1, posted September 15, 2026 |
| 4Q25 | $0.218 | −$0.064 | 10 MG | Inj, esmolol hcl, 10mg | v1, posted September 8, 2026 |
| 3Q25 | $0.282 | $0.00 | 10 MG | Inj, esmolol hcl, 10mg | v1, posted March 10, 2026 |
| 2Q25 | $0.282 | +$0.071 | 10 MG | Inj, esmolol hcl, 10mg | v1, posted March 10, 2026 |
| 1Q25 | $0.211 | +$0.017 | 10 MG | Inj, esmolol hcl, 10mg | v1, posted December 19, 2025 |
| 4Q24 | $0.194 | −$0.07 | 10 MG | Inj, esmolol hcl, 10mg | v1, posted June 11, 2025 |
| 3Q24 | $0.264 | +$0.043 | 10 MG | Inj, esmolol hcl, 10mg | v1, posted June 11, 2025 |
| 2Q24 | $0.221 | −$0.039 | 10 MG | Inj, esmolol hcl, 10mg | v1, posted March 11, 2025 |
| 1Q24 | $0.26 | +$0.015 | 10 MG | Inj, esmolol hcl, 10mg | v1, posted December 19, 2024 |
| 4Q23 | $0.245 | −$0.005 | 10 MG | Inj, esmolol hcl, 10mg | v1, posted October 10, 2024 |
| 3Q23 | $0.25 | – | 10 MG | Inj, esmolol hcl, 10mg | v1, posted June 5, 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.