Inj, tocilizumab-anoh, hospi
Products billed under this code include Avtozma.
Payment limit per 1 MG, by effective quarter, 2Q26 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under Q0237
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 |
|---|---|---|---|---|
| Avtozma | Celltrion USA, Inc. | 72606-0042-01 | 80 | $393.60 |
| Avtozma | Celltrion USA, Inc. | 72606-0042-02 | 320 | $1,574.40 |
| Avtozma | Celltrion USA, Inc. | 72606-0043-01 | 200 | $984.00 |
| Avtozma | Celltrion USA, Inc. | 72606-0043-02 | 800 | $3,936.00 |
| Avtozma | Celltrion USA, Inc. | 72606-0044-01 | 400 | $1,968.00 |
| Avtozma | Celltrion USA, Inc. | 72606-0044-02 | 1600 | $7,872.00 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $4.92 | $0.00 | 1 MG | Inj, tocilizumab-anoh, hospi | v1, posted September 17, 2026 |
| 3Q26 | $4.92 | $0.00 | 1 MG | Inj, tocilizumab-anoh, hospi | v1, posted September 15, 2026 |
| 2Q26 | $4.92 | – | 1 MG | Inj, tocilizumab-anoh, hospi | 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.
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