Integra drt or omnigraft
This code is not in the latest file (4Q26). It was last listed in 4Q25.
Payment limit per 1 SQ CM, by effective quarter, 1Q23 to 4Q25. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under Q4105
No NDCs mapped to this code in the 4Q26 crosswalk.
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q25 | $26.944 | +$0.857 | 1 SQ CM | Integra drt or omnigraft | v1, posted September 8, 2026 |
| 3Q25 | $26.087 | +$2.839 | 1 SQ CM | Integra drt or omnigraft | v1, posted March 10, 2026 |
| 2Q25 | $23.248 | −$7.029 | 1 SQ CM | Integra drt or omnigraft | v1, posted March 10, 2026 |
| 1Q25 | $30.277 | −$4.402 | 1 SQ CM | Integra drt or omnigraft | v1, posted December 19, 2025 |
| 4Q24 | $34.679 | +$9.509 | 1 SQ CM | Integra drt or omnigraft | v1, posted June 11, 2025 |
| 3Q24 | $25.17 | +$0.571 | 1 SQ CM | Integra drt or omnigraft | v1, posted June 11, 2025 |
| 2Q24 | $24.599 | −$0.745 | 1 SQ CM | Integra drt or omnigraft | v1, posted March 11, 2025 |
| 1Q24 | $25.344 | +$1.855 | 1 SQ CM | Integra drt or omnigraft | v1, posted December 19, 2024 |
| 4Q23 | $23.489 | −$2.534 | 1 SQ CM | Integra drt or omnigraft | v1, posted October 10, 2024 |
| 3Q23 | $26.023 | +$2.176 | 1 SQ CM | Integra drt or omnigraft | v1, posted June 5, 2024 |
| 2Q23 | $23.847 | +$2.49 | 1 SQ CM | Integra drt or omnigraft | v1, posted February 23, 2024 |
| 1Q23 | $21.357 | – | 1 SQ CM | Integra drt or omnigraft | v1, posted December 6, 2023 |
“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
- 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