Inj retacrit esrd on dialysi
Products billed under this code include Retacrit.
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 Q5105
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 |
|---|---|---|---|---|
| Retacrit | Pfizer Inc | 00069-1305-10 | 200 | $163.40 |
| Retacrit | Pfizer Inc | 00069-1306-10 | 300 | $245.10 |
| Retacrit | Pfizer Inc | 00069-1307-10 | 400 | $326.80 |
| Retacrit | Pfizer Inc | 00069-1308-10 | 1000 | $817.00 |
| Retacrit | Pfizer Inc | 00069-1309-04 | 1600 | $1,307.20 |
| Retacrit | Pfizer Inc | 00069-1311-10 | 2000 | $1,634.00 |
| Retacrit | Pfizer Inc | 00069-1318-10 | 1000 | $817.00 |
| Retacrit | Vifor (International) Inc. | 59353-0002-10 | 200 | $163.40 |
| Retacrit | Vifor (International) Inc. | 59353-0003-10 | 300 | $245.10 |
| Retacrit | Vifor (International) Inc. | 59353-0004-10 | 400 | $326.80 |
Show all 12 products
| Product | Labeler | NDC | Units / pkg | Limit / pkg |
|---|---|---|---|---|
| Retacrit | Vifor (International) Inc. | 59353-0120-10 | 2000 | $1,634.00 |
| Retacrit | Vifor (International) Inc. | 59353-0220-10 | 1000 | $817.00 |
Every quarter
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.817 | +$0.02 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted September 17, 2026 |
| 3Q26 | $0.797 | +$0.009 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted September 15, 2026 |
| 2Q26 | $0.788 | +$0.031 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted September 15, 2026 |
| 1Q26 | $0.757 | −$0.028 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted September 15, 2026 |
| 4Q25 | $0.785 | +$0.028 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted September 8, 2026 |
| 3Q25 | $0.757 | +$0.05 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted March 10, 2026 |
| 2Q25 | $0.707 | −$0.04 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted March 10, 2026 |
| 1Q25 | $0.747 | −$0.015 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted December 19, 2025 |
| 4Q24 | $0.762 | +$0.08 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted June 11, 2025 |
| 3Q24 | $0.682 | −$0.069 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted June 11, 2025 |
| 2Q24 | $0.751 | −$0.031 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted March 11, 2025 |
| 1Q24 | $0.782 | +$0.057 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted December 19, 2024 |
| 4Q23 | $0.725 | −$0.025 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted October 10, 2024 |
| 3Q23 | $0.75 | −$0.101 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted June 5, 2024 |
| 2Q23 | $0.851 | +$0.045 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted February 23, 2024 |
| 1Q23 | $0.806 | −$0.007 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted December 6, 2023 |
| 4Q22 | $0.813 | −$0.026 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted June 22, 2023 |
| 3Q22 | $0.839 | +$0.013 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted June 9, 2023 |
| 2Q22 | $0.826 | +$0.013 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted December 14, 2022 |
| 1Q22 | $0.813 | −$0.053 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted June 8, 2022 |
| 4Q21 | $0.866 | +$0.003 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted June 2, 2022 |
| 3Q21 | $0.863 | −$0.056 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted June 2, 2022 |
| 2Q21 | $0.919 | +$0.064 | 100 UNITS | Inj retacrit esrd on dialysi | v1, posted March 1, 2022 |
| 1Q21 | $0.855 | – | 100 UNITS | Inj retacrit esrd on dialysi | 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