Inj xipere 1 mg
Products billed under this code include Xipere.
Payment limit per 1 MG, by effective quarter, 1Q23 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 Xipere.
Payment limit per 1 MG, by effective quarter, 1Q23 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 |
|---|---|---|---|---|
| Xipere | Bausch & Lomb Americas Inc. | 24208-0040-40 | 36 | $1,717.38 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $47.705 | −$0.065 | 1 MG | Inj xipere 1 mg | v1, posted September 17, 2026 |
| 3Q26 | $47.77 | −$0.009 | 1 MG | Inj xipere 1 mg | v1, posted September 15, 2026 |
| 2Q26 | $47.779 | −$0.071 | 1 MG | Inj xipere 1 mg | v1, posted September 15, 2026 |
| 1Q26 | $47.85 | −$0.123 | 1 MG | Inj xipere 1 mg | v1, posted September 15, 2026 |
| 4Q25 | $47.973 | −$0.027 | 1 MG | Inj xipere 1 mg | v1, posted September 8, 2026 |
| 3Q25 | $48.00 | −$0.231 | 1 MG | Inj xipere 1 mg | v1, posted March 10, 2026 |
| 2Q25 | $48.231 | −$0.191 | 1 MG | Inj xipere 1 mg | v1, posted March 10, 2026 |
| 1Q25 | $48.422 | +$0.023 | 1 MG | Inj xipere 1 mg | v1, posted December 19, 2025 |
| 4Q24 | $48.399 | −$0.184 | 1 MG | Inj xipere 1 mg | v1, posted June 11, 2025 |
| 3Q24 | $48.583 | $0.00 | 1 MG | Inj xipere 1 mg | v1, posted June 11, 2025 |
| 2Q24 | $48.583 | $0.00 | 1 MG | Inj xipere 1 mg | v1, posted March 11, 2025 |
| 1Q24 | $48.583 | $0.00 | 1 MG | Inj xipere 1 mg | v1, posted December 19, 2024 |
| 4Q23 | $48.583 | +$0.097 | 1 MG | Inj xipere 1 mg | v1, posted October 10, 2024 |
| 3Q23 | $48.486 | +$0.874 | 1 MG | Inj xipere 1 mg | v1, posted June 5, 2024 |
| 2Q23 | $47.612 | $0.00 | 1 MG | Inj xipere 1 mg | v1, posted February 23, 2024 |
| 1Q23 | $47.612 | – | 1 MG | Inj xipere 1 mg | v1, posted December 6, 2023 |
“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.