Rxcurve
Medicare Part B payment limits Effective October 1 – December 31, 2026 Posted by CMS September 17, 2026
HCPCS J9321 · per 0.16 MG

Inj epcoritamab-bysp 0.16 mg

Products billed under this code include Epkinly.

Payment limit per 0.16 MG, by effective quarter, 1Q24 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.

Products billed under J9321

From the 4Q26 NDC–HCPCS crosswalk. “Limit / pkg” is the 4Q26 payment limit times the billing units in one package.

ProductLabelerNDCUnits / pkgLimit / pkg
Epkinly Genmab US, Inc. 82705-0002-01 25 $1,449.375
Epkinly Genmab US, Inc. 82705-0010-01 300 $17,392.50

Every quarter

QuarterPayment limitChangeBilling unitDescriptionSource file
4Q26 $57.975 −$0.017 0.16 MG Inj epcoritamab-bysp 0.16 mg v1, posted September 17, 2026
3Q26 $57.992 +$1.076 0.16 MG Inj epcoritamab-bysp 0.16 mg v1, posted September 15, 2026
2Q26 $56.916 +$0.111 0.16 MG Inj epcoritamab-bysp 0.16 mg v1, posted September 15, 2026
1Q26 $56.805 +$0.964 0.16 MG Inj epcoritamab-bysp 0.16 mg v1, posted September 15, 2026
4Q25 $55.841 +$0.183 0.16 MG Inj epcoritamab-bysp 0.16 mg v1, posted September 8, 2026
3Q25 $55.658 +$0.797 0.16 MG Inj epcoritamab-bysp 0.16 mg v1, posted March 10, 2026
2Q25 $54.861 −$0.325 0.16 MG Inj epcoritamab-bysp 0.16 mg v1, posted March 10, 2026
1Q25 $55.186 +$1.017 0.16 MG Inj epcoritamab-bysp 0.16 mg v1, posted December 19, 2025
4Q24 $54.169 −$0.275 0.16 MG Inj epcoritamab-bysp 0.16 mg v1, posted June 11, 2025
3Q24 $54.444 +$0.669 0.16 MG Inj epcoritamab-bysp 0.16 mg v1, posted June 11, 2025
2Q24 $53.775 −$0.022 0.16 MG Inj epcoritamab-bysp 0.16 mg v1, posted March 11, 2025
1Q24 $53.797 – 0.16 MG Inj epcoritamab-bysp 0.16 mg v1, posted December 19, 2024

“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