Inj. herceptin hylecta, 10mg
Products billed under this code include Herceptin Hylecta.
Payment limit per 10 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 J9356
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 |
|---|---|---|---|---|
| Herceptin Hylecta | Genentech, Inc. | 50242-0077-01 | 60 | $3,482.28 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $58.038 | −$0.306 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted September 17, 2026 |
| 3Q26 | $58.344 | −$1.565 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted September 15, 2026 |
| 2Q26 | $59.909 | −$1.159 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted September 15, 2026 |
| 1Q26 | $61.068 | −$0.368 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted September 15, 2026 |
| 4Q25 | $61.436 | −$1.537 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted September 8, 2026 |
| 3Q25 | $62.973 | +$0.057 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted March 10, 2026 |
| 2Q25 | $62.916 | −$0.148 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted March 10, 2026 |
| 1Q25 | $63.064 | −$0.723 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted December 19, 2025 |
| 4Q24 | $63.787 | −$0.825 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted June 11, 2025 |
| 3Q24 | $64.612 | −$1.317 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted June 11, 2025 |
| 2Q24 | $65.929 | −$0.093 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted March 11, 2025 |
| 1Q24 | $66.022 | +$0.022 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted December 19, 2024 |
| 4Q23 | $66.00 | +$0.417 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted October 10, 2024 |
| 3Q23 | $65.583 | +$0.506 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted June 5, 2024 |
| 2Q23 | $65.077 | −$0.411 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted February 23, 2024 |
| 1Q23 | $65.488 | −$2.324 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted December 6, 2023 |
| 4Q22 | $67.812 | −$0.922 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted June 22, 2023 |
| 3Q22 | $68.734 | −$2.223 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted June 9, 2023 |
| 2Q22 | $70.957 | −$0.537 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted December 14, 2022 |
| 1Q22 | $71.494 | −$0.36 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted June 8, 2022 |
| 4Q21 | $71.854 | −$0.387 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted June 2, 2022 |
| 3Q21 | $72.241 | −$0.067 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted June 2, 2022 |
| 2Q21 | $72.308 | −$2.281 | 10 MG | Inj. herceptin hylecta, 10mg | v1, posted March 1, 2022 |
| 1Q21 | $74.589 | – | 10 MG | Inj. herceptin hylecta, 10mg | 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.
CMS source files
- 4Q26: 2026-09-17_october-2026-medicare-part-b-payment-limit-files-final.zipposted September 17, 2026
- 4Q26: 2026-09-17_october-2026-ndc-hcpcs-crosswalk-final.zipposted September 17, 2026
- 3Q26: 2026-09-15_july-2026-medicare-part-b-payment-limit-files.zipposted September 15, 2026
- 2Q26: 2026-09-15_april-2026-medicare-part-b-payment-limit-files-final-file.zipposted September 15, 2026
- 1Q26: 2026-09-15_january-2026-medicare-part-b-payment-limit-files.zipposted September 15, 2026
- 4Q25: 2026-09-08_october-2025-asp-pricing-final-file.zipposted September 8, 2026
- 3Q25: 2026-03-10_july-2025-asp-pricing-file.zipposted March 10, 2026
- 2Q25: 2026-03-10_april-2025-asp-pricing-file.zipposted March 10, 2026
- 1Q25: 2025-12-19_january-2025-asp-pricing-file-03-11-25-final-file.zipposted December 19, 2025
- 4Q24: 2025-06-11_october-2024-asp-pricing-file.zipposted June 11, 2025
- 3Q24: 2025-06-11_july-2024-asp-pricing-file.zipposted June 11, 2025
- 2Q24: 2025-03-11_april-2024-asp-pricing-file.zipposted March 11, 2025
- 1Q24: 2024-12-19_january-2024-asp-pricing-file.zipposted December 19, 2024
- 4Q23: 2024-10-10_october-2023-asp-pricing-file.zipposted October 10, 2024
- 3Q23: 2024-06-05_july-2023-asp-pricing-file.zipposted June 5, 2024
- 2Q23: 2024-02-23_april-2023-asp-pricing-file.zipposted February 23, 2024
- 1Q23: 2023-12-06_january-2023-asp-pricing-file.zipposted December 6, 2023
- 4Q22: 2023-06-22_october-2022-asp-pricing-file.zipposted June 22, 2023
- 3Q22: 2023-06-09_july-2022-asp-pricing-file.zipposted June 9, 2023
- 2Q22: 2022-12-14_april-2022-asp-pricing-file.zipposted December 14, 2022
- 1Q22: 2022-06-08_january-2022-asp-pricing-file.zipposted June 8, 2022
- 4Q21: 2022-06-02_october-2021-asp-pricing-file.zipposted June 2, 2022
- 3Q21: 2022-06-02_july-2021-asp-pricing-file.zipposted June 2, 2022
- 2Q21: 2022-03-01_april-2021-asp-pricing-file.zipposted March 1, 2022
- 1Q21: 2021-12-10_january-2021-asp-pricing-file.zipposted December 10, 2021