Grafix stravix prime pl sqcm
This code is not in the latest file (4Q26). It was last listed in 4Q25.
Payment limit per 1 SQ CM, by effective quarter, 1Q21 to 4Q25. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under Q4133
No NDCs mapped to this code in the 4Q26 crosswalk.
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q25 | $138.74 | +$2.563 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted September 8, 2026 |
| 3Q25 | $136.177 | −$0.189 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted March 10, 2026 |
| 2Q25 | $136.366 | −$2.387 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted March 10, 2026 |
| 1Q25 | $138.753 | +$1.793 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted December 19, 2025 |
| 4Q24 | $136.96 | −$4.70 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted June 11, 2025 |
| 3Q24 | $141.66 | −$1.566 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted June 11, 2025 |
| 2Q24 | $143.226 | +$6.902 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted March 11, 2025 |
| 1Q24 | $136.324 | −$4.492 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted December 19, 2024 |
| 4Q23 | $140.816 | +$1.435 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted October 10, 2024 |
| 3Q23 | $139.381 | +$6.595 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted June 5, 2024 |
| 2Q23 | $132.786 | −$1.448 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted February 23, 2024 |
| 1Q23 | $134.234 | −$1.186 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted December 6, 2023 |
| 4Q22 | $135.42 | −$0.047 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted June 22, 2023 |
| 3Q22 | $135.467 | +$4.425 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted June 9, 2023 |
| 2Q22 | $131.042 | −$3.013 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted December 14, 2022 |
| 1Q22 | $134.055 | +$0.32 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted June 8, 2022 |
| 4Q21 | $133.735 | −$2.722 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted June 2, 2022 |
| 3Q21 | $136.457 | +$2.091 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted June 2, 2022 |
| 2Q21 | $134.366 | −$0.868 | 1 SQ CM | Grafix stravix prime pl sqcm | v1, posted March 1, 2022 |
| 1Q21 | $135.234 | – | 1 SQ CM | Grafix stravix prime pl sqcm | 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
- 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