Aminolevulinic acid hcl top
Products billed under this code include Levulan Kerastick.
Payment limit per 354 MG, 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 Levulan Kerastick.
Payment limit per 354 MG, 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 |
|---|---|---|---|---|
| Levulan Kerastick | DUSA Pharmaceuticals, Inc. | 67308-0101-06 | 6 | $2,343.138 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $390.523 | +$1.243 | 354 MG | Aminolevulinic acid hcl top | v1, posted September 17, 2026 |
| 3Q26 | $389.28 | −$0.736 | 354 MG | Aminolevulinic acid hcl top | v1, posted September 15, 2026 |
| 2Q26 | $390.016 | +$0.187 | 354 MG | Aminolevulinic acid hcl top | v1, posted September 15, 2026 |
| 1Q26 | $389.829 | −$2.261 | 354 MG | Aminolevulinic acid hcl top | v1, posted September 15, 2026 |
| 4Q25 | $392.09 | −$1.784 | 354 MG | Aminolevulinic acid hcl top | v1, posted September 8, 2026 |
| 3Q25 | $393.874 | −$0.539 | 354 MG | Aminolevulinic acid hcl top | v1, posted March 10, 2026 |
| 2Q25 | $394.413 | −$0.851 | 354 MG | Aminolevulinic acid hcl top | v1, posted March 10, 2026 |
| 1Q25 | $395.264 | −$1.708 | 354 MG | Aminolevulinic acid hcl top | v1, posted December 19, 2025 |
| 4Q24 | $396.972 | +$1.737 | 354 MG | Aminolevulinic acid hcl top | v1, posted June 11, 2025 |
| 3Q24 | $395.235 | −$1.299 | 354 MG | Aminolevulinic acid hcl top | v1, posted June 11, 2025 |
| 2Q24 | $396.534 | +$4.215 | 354 MG | Aminolevulinic acid hcl top | v1, posted March 11, 2025 |
| 1Q24 | $392.319 | +$1.758 | 354 MG | Aminolevulinic acid hcl top | v1, posted December 19, 2024 |
| 4Q23 | $390.561 | −$0.669 | 354 MG | Aminolevulinic acid hcl top | v1, posted October 10, 2024 |
| 3Q23 | $391.23 | −$0.465 | 354 MG | Aminolevulinic acid hcl top | v1, posted June 5, 2024 |
| 2Q23 | $391.695 | +$1.094 | 354 MG | Aminolevulinic acid hcl top | v1, posted February 23, 2024 |
| 1Q23 | $390.601 | −$2.854 | 354 MG | Aminolevulinic acid hcl top | v1, posted December 6, 2023 |
| 4Q22 | $393.455 | +$1.369 | 354 MG | Aminolevulinic acid hcl top | v1, posted June 22, 2023 |
| 3Q22 | $392.086 | +$0.066 | 354 MG | Aminolevulinic acid hcl top | v1, posted June 9, 2023 |
| 2Q22 | $392.02 | +$0.595 | 354 MG | Aminolevulinic acid hcl top | v1, posted December 14, 2022 |
| 1Q22 | $391.425 | −$1.053 | 354 MG | Aminolevulinic acid hcl top | v1, posted June 8, 2022 |
| 4Q21 | $392.478 | +$10.353 | 354 MG | Aminolevulinic acid hcl top | v1, posted June 2, 2022 |
| 3Q21 | $382.125 | −$10.87 | 354 MG | Aminolevulinic acid hcl top | v1, posted June 2, 2022 |
| 2Q21 | $392.995 | +$4.577 | 354 MG | Aminolevulinic acid hcl top | v1, posted March 1, 2022 |
| 1Q21 | $388.418 | – | 354 MG | Aminolevulinic acid hcl top | 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.