Palifermin injection
Products billed under this code include Kepivance.
Payment limit per 50 MCG, 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 J2425
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 |
|---|---|---|---|---|
| Kepivance | Swedish Orphan Biovitrum AB (PuBL) | 66658-0113-03 | 310 | $12,040.09 |
| Kepivance | Swedish Orphan Biovitrum AB (PuBL) | 66658-0113-06 | 620 | $24,080.18 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $38.839 | +$0.149 | 50 MCG | Palifermin injection | v1, posted September 17, 2026 |
| 3Q26 | $38.69 | +$1.971 | 50 MCG | Palifermin injection | v1, posted September 15, 2026 |
| 2Q26 | $36.719 | +$0.091 | 50 MCG | Palifermin injection | v1, posted September 15, 2026 |
| 1Q26 | $36.628 | +$1.075 | 50 MCG | Palifermin injection | v1, posted September 15, 2026 |
| 4Q25 | $35.553 | −$0.361 | 50 MCG | Palifermin injection | v1, posted September 8, 2026 |
| 3Q25 | $35.914 | +$1.923 | 50 MCG | Palifermin injection | v1, posted March 10, 2026 |
| 2Q25 | $33.991 | $0.00 | 50 MCG | Palifermin injection | v1, posted March 10, 2026 |
| 1Q25 | $33.991 | – | 50 MCG | Palifermin injection | v1, posted December 19, 2025 |
| 2Q23 | $25.125 | +$0.004 | 50 MCG | Palifermin injection | v1, posted February 23, 2024 |
| 1Q23 | $25.121 | −$0.001 | 50 MCG | Palifermin injection | v1, posted December 6, 2023 |
| 4Q22 | $25.122 | −$0.005 | 50 MCG | Palifermin injection | v1, posted June 22, 2023 |
| 3Q22 | $25.127 | +$1.202 | 50 MCG | Palifermin injection | v1, posted June 9, 2023 |
| 2Q22 | $23.925 | −$0.004 | 50 MCG | Palifermin injection | v1, posted December 14, 2022 |
| 1Q22 | $23.929 | $0.00 | 50 MCG | Palifermin injection | v1, posted June 8, 2022 |
| 4Q21 | $23.929 | −$0.001 | 50 MCG | Palifermin injection | v1, posted June 2, 2022 |
| 3Q21 | $23.93 | +$1.07 | 50 MCG | Palifermin injection | v1, posted June 2, 2022 |
| 2Q21 | $22.86 | +$0.039 | 50 MCG | Palifermin injection | v1, posted March 1, 2022 |
| 1Q21 | $22.821 | – | 50 MCG | Palifermin 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
- 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
- 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