Rxcurve
Medicare Part B payment limits Effective October 1 – December 31, 2026 Posted by CMS September 17, 2026
HCPCS Q5113 · per 10 MG

Inj herzuma 10 mg

Products billed under this code include Herzuma.

Payment limit per 10 MG, 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 Q5113

From the 4Q26 NDC–HCPCS crosswalk. “Limit / pkg” is the 4Q26 payment limit times the billing units in one package.

ProductLabelerNDCUnits / pkgLimit / pkg
Herzuma Cephalon, LLC 63459-0303-43 15 $829.425
Herzuma Cephalon, LLC 63459-0305-47 42 $2,322.39

Every quarter

QuarterPayment limitChangeBilling unitDescriptionSource file
4Q26 $55.295 +$0.353 10 MG Inj herzuma 10 mg v1, posted September 17, 2026
3Q26 $54.942 −$1.077 10 MG Inj herzuma 10 mg v1, posted September 15, 2026
2Q26 $56.019 +$0.588 10 MG Inj herzuma 10 mg v1, posted September 15, 2026
1Q26 $55.431 −$13.937 10 MG Inj herzuma 10 mg v1, posted September 15, 2026
4Q25 $69.368 −$8.124 10 MG Inj herzuma 10 mg v1, posted September 8, 2026
3Q25 $77.492 +$3.587 10 MG Inj herzuma 10 mg v1, posted March 10, 2026
2Q25 $73.905 +$1.927 10 MG Inj herzuma 10 mg v1, posted March 10, 2026
1Q25 $71.978 +$11.541 10 MG Inj herzuma 10 mg v1, posted December 19, 2025
4Q24 $60.437 −$2.195 10 MG Inj herzuma 10 mg v1, posted June 11, 2025
3Q24 $62.632 +$6.835 10 MG Inj herzuma 10 mg v1, posted June 11, 2025
2Q24 $55.797 +$15.49 10 MG Inj herzuma 10 mg v1, posted March 11, 2025
1Q24 $40.307 +$20.124 10 MG Inj herzuma 10 mg v1, posted December 19, 2024
4Q23 $20.183 −$9.687 10 MG Inj herzuma 10 mg v1, posted October 10, 2024
3Q23 $29.87 +$0.344 10 MG Inj herzuma 10 mg v1, posted June 5, 2024
2Q23 $29.526 −$6.873 10 MG Inj herzuma 10 mg v1, posted February 23, 2024
1Q23 $36.399 −$16.572 10 MG Inj herzuma 10 mg v1, posted December 6, 2023
4Q22 $52.971 +$10.016 10 MG Inj herzuma 10 mg v1, posted June 22, 2023
3Q22 $42.955 −$9.633 10 MG Inj herzuma 10 mg v1, posted June 9, 2023
2Q22 $52.588 +$4.092 10 MG Inj herzuma 10 mg v1, posted December 14, 2022
1Q22 $48.496 −$8.807 10 MG Inj herzuma 10 mg v1, posted June 8, 2022
4Q21 $57.303 −$9.459 10 MG Inj herzuma 10 mg v1, posted June 2, 2022
3Q21 $66.762 −$15.232 10 MG Inj herzuma 10 mg v1, posted June 2, 2022
2Q21 $81.994 −$4.431 10 MG Inj herzuma 10 mg v1, posted March 1, 2022
1Q21 $86.425 – 10 MG Inj herzuma 10 mg 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