Epoetin alfa, 100 units esrd
Products billed under this code include Epogen, Procrit.
Payment limit per 100 UNITS, 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 Q4081
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 |
|---|---|---|---|---|
| Epogen | Amgen Inc | 55513-0126-10 | 200 | $133.40 |
| Epogen | Amgen Inc | 55513-0126-20 | 200 | $133.40 |
| Epogen | Amgen Inc | 55513-0144-10 | 1000 | $667.00 |
| Epogen | Amgen Inc | 55513-0148-10 | 400 | $266.80 |
| Epogen | Amgen Inc | 55513-0267-10 | 300 | $200.10 |
| Epogen | Amgen Inc | 55513-0267-20 | 300 | $200.10 |
| Epogen | Amgen Inc | 55513-0283-10 | 2000 | $1,334.00 |
| Epogen | Amgen Inc | 55513-0283-20 | 2000 | $1,334.00 |
| Epogen | Amgen Inc | 55513-0478-10 | 2000 | $1,334.00 |
| Epogen | Amgen Inc | 55513-0478-20 | 2000 | $1,334.00 |
Show all 18 products
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Procrit | Janssen Products, LP | 59676-0302-01 | 120 | $80.04 |
| Procrit | Janssen Products, LP | 59676-0303-01 | 180 | $120.06 |
| Procrit | Janssen Products, LP | 59676-0304-01 | 240 | $160.08 |
| Procrit | Janssen Products, LP | 59676-0310-01 | 600 | $400.20 |
| Procrit | Janssen Products, LP | 59676-0310-02 | 2500 | $1,667.50 |
| Procrit | Janssen Products, LP | 59676-0312-04 | 800 | $533.60 |
| Procrit | Janssen Products, LP | 59676-0320-04 | 800 | $533.60 |
| Procrit | Janssen Products, LP | 59676-0340-01 | 1600 | $1,067.20 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.667 | −$0.021 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted September 17, 2026 |
| 3Q26 | $0.688 | −$0.042 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted September 15, 2026 |
| 2Q26 | $0.73 | −$0.044 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted September 15, 2026 |
| 1Q26 | $0.774 | −$0.08 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted September 15, 2026 |
| 4Q25 | $0.854 | +$0.086 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted September 8, 2026 |
| 3Q25 | $0.768 | +$0.06 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted March 10, 2026 |
| 2Q25 | $0.708 | +$0.062 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted March 10, 2026 |
| 1Q25 | $0.646 | −$0.107 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted December 19, 2025 |
| 4Q24 | $0.753 | −$0.06 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted June 11, 2025 |
| 3Q24 | $0.813 | −$0.014 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted June 11, 2025 |
| 2Q24 | $0.827 | −$0.062 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted March 11, 2025 |
| 1Q24 | $0.889 | +$0.18 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted December 19, 2024 |
| 4Q23 | $0.709 | +$0.021 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted October 10, 2024 |
| 3Q23 | $0.688 | −$0.105 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted June 5, 2024 |
| 2Q23 | $0.793 | −$0.031 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted February 23, 2024 |
| 1Q23 | $0.824 | −$0.013 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted December 6, 2023 |
| 4Q22 | $0.837 | +$0.015 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted June 22, 2023 |
| 3Q22 | $0.822 | +$0.011 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted June 9, 2023 |
| 2Q22 | $0.811 | −$0.011 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted December 14, 2022 |
| 1Q22 | $0.822 | +$0.007 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted June 8, 2022 |
| 4Q21 | $0.815 | −$0.007 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted June 2, 2022 |
| 3Q21 | $0.822 | −$0.032 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted June 2, 2022 |
| 2Q21 | $0.854 | −$0.028 | 100 UNITS | Epoetin alfa, 100 units esrd | v1, posted March 1, 2022 |
| 1Q21 | $0.882 | – | 100 UNITS | Epoetin alfa, 100 units esrd | 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