Inj amivantamab 5mg hyaluron
Products billed under this code include Rybrevant Faspro.
Payment limit per 5 MG, by effective quarter, 3Q26 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 Rybrevant Faspro.
Payment limit per 5 MG, by effective quarter, 3Q26 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 |
|---|---|---|---|---|
| Rybrevant Faspro | Janssen Biotech, Inc. | 57894-0510-01 | 320 | $12,957.44 |
| Rybrevant Faspro | Janssen Biotech, Inc. | 57894-0514-01 | 448 | $18,140.416 |
| Rybrevant Faspro | Janssen Biotech, Inc. | 57894-0515-01 | 480 | $19,436.16 |
| Rybrevant Faspro | Janssen Biotech, Inc. | 57894-0522-01 | 704 | $28,506.368 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $40.492 | −$0.251 | 5 MG | Inj amivantamab 5mg hyaluron | v1, posted September 17, 2026 |
| 3Q26 | $40.743 | – | 5 MG | Inj amivantamab 5mg hyaluron | v1, posted September 15, 2026 |
“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.