Biovance tri or 3l, sq cm
This code is not in the latest file (4Q26). It was last listed in 4Q25.
Payment limit per 1 SQ CM, by effective quarter, 2Q24 to 4Q25. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.Products billed under Q4283
No NDCs mapped to this code in the 4Q26 crosswalk.
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q25 | $455.736 | −$1.584 | 1 SQ CM | Biovance tri or 3l, sq cm | v1, posted September 8, 2026 |
| 3Q25 | $457.32 | −$93.323 | 1 SQ CM | Biovance tri or 3l, sq cm | v1, posted March 10, 2026 |
| 2Q25 | $550.643 | −$109.739 | 1 SQ CM | Biovance tri or 3l, sq cm | v1, posted March 10, 2026 |
| 1Q25 | $660.382 | −$139.622 | 1 SQ CM | Biovance tri or 3l, sq cm | v1, posted December 19, 2025 |
| 4Q24 | $800.004 | −$259.205 | 1 SQ CM | Biovance tri or 3l, sq cm | v1, posted June 11, 2025 |
| 3Q24 | $1,059.209 | −$238.328 | 1 SQ CM | Biovance tri or 3l, sq cm | v1, posted June 11, 2025 |
| 2Q24 | $1,297.537 | – | 1 SQ CM | Biovance tri or 3l, sq cm | v1, posted March 11, 2025 |
“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