Hyalomatrix
This code is not in the latest file (4Q26). It was last listed in 1Q24.
Payment limit per 1 SQ CM, by effective quarter, 1Q23 to 1Q24. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under Q4117
No NDCs mapped to this code in the 4Q26 crosswalk.
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 1Q24 | $16.913 | −$3.541 | 1 SQ CM | Hyalomatrix | v1, posted December 19, 2024 |
| 4Q23 | $20.454 | −$2.247 | 1 SQ CM | Hyalomatrix | v1, posted October 10, 2024 |
| 3Q23 | $22.701 | +$3.42 | 1 SQ CM | Hyalomatrix | v1, posted June 5, 2024 |
| 2Q23 | $19.281 | +$10.57 | 1 SQ CM | Hyalomatrix | v1, posted February 23, 2024 |
| 1Q23 | $8.711 | – | 1 SQ CM | Hyalomatrix | 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
- 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