Streptomycin injection
Products billed under this code include Streptomycin Sulfate.
Payment limit per 1 GM, 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 this code include Streptomycin Sulfate.
Payment limit per 1 GM, by effective quarter, 1Q21 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 |
|---|---|---|---|---|
| Streptomycin Sulfate | XGen Pharmaceuticals DJB, Inc. | 39822-0706-02 | 10 | $164.07 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $16.407 | −$10.476 | 1 GM | Streptomycin injection | v1, posted September 17, 2026 |
| 3Q26 | $26.883 | −$13.373 | 1 GM | Streptomycin injection | v1, posted September 15, 2026 |
| 2Q26 | $40.256 | +$6.379 | 1 GM | Streptomycin injection | v1, posted September 15, 2026 |
| 1Q26 | $33.877 | −$2.81 | 1 GM | Streptomycin injection | v1, posted September 15, 2026 |
| 4Q25 | $36.687 | +$5.334 | 1 GM | Streptomycin injection | v1, posted September 8, 2026 |
| 3Q25 | $31.353 | +$5.764 | 1 GM | Streptomycin injection | v1, posted March 10, 2026 |
| 2Q25 | $25.589 | −$2.674 | 1 GM | Streptomycin injection | v1, posted March 10, 2026 |
| 1Q25 | $28.263 | −$4.482 | 1 GM | Streptomycin injection | v1, posted December 19, 2025 |
| 4Q24 | $32.745 | +$0.77 | 1 GM | Streptomycin injection | v1, posted June 11, 2025 |
| 3Q24 | $31.975 | +$8.913 | 1 GM | Streptomycin injection | v1, posted June 11, 2025 |
| 2Q24 | $23.062 | −$9.454 | 1 GM | Streptomycin injection | v1, posted March 11, 2025 |
| 1Q24 | $32.516 | −$0.852 | 1 GM | Streptomycin injection | v1, posted December 19, 2024 |
| 4Q23 | $33.368 | +$1.80 | 1 GM | Streptomycin injection | v1, posted October 10, 2024 |
| 3Q23 | $31.568 | −$10.694 | 1 GM | Streptomycin injection | v1, posted June 5, 2024 |
| 2Q23 | $42.262 | +$4.098 | 1 GM | Streptomycin injection | v1, posted February 23, 2024 |
| 1Q23 | $38.164 | −$1.698 | 1 GM | Streptomycin injection | v1, posted December 6, 2023 |
| 4Q22 | $39.862 | +$1.663 | 1 GM | Streptomycin injection | v1, posted June 22, 2023 |
| 3Q22 | $38.199 | +$4.829 | 1 GM | Streptomycin injection | v1, posted June 9, 2023 |
| 2Q22 | $33.37 | +$0.426 | 1 GM | Streptomycin injection | v1, posted December 14, 2022 |
| 1Q22 | $32.944 | −$1.603 | 1 GM | Streptomycin injection | v1, posted June 8, 2022 |
| 4Q21 | $34.547 | +$1.444 | 1 GM | Streptomycin injection | v1, posted June 2, 2022 |
| 3Q21 | $33.103 | +$0.146 | 1 GM | Streptomycin injection | v1, posted June 2, 2022 |
| 2Q21 | $32.957 | −$0.104 | 1 GM | Streptomycin injection | v1, posted March 1, 2022 |
| 1Q21 | $33.061 | – | 1 GM | Streptomycin 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.