Rxcurve
Medicare Part B payment limits Effective October 1 – December 31, 2026 Posted by CMS September 17, 2026
HCPCS Q5120 · per 0.5 MG

Inj pegfilgrastim-bmez 0.5mg

Products billed under this code include Ziextenzo.

Payment limit per 0.5 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 Q5120

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

ProductLabelerNDCUnits / pkgLimit / pkg
Ziextenzo Sandoz Inc. 61314-0866-01 12 $3,626.964
Ziextenzo Sandoz Inc. 61314-0866-02 12 $3,626.964

Every quarter

QuarterPayment limitChangeBilling unitDescriptionSource file
4Q26 $302.247 +$170.151 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted September 17, 2026
3Q26 $132.096 +$12.459 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted September 15, 2026
2Q26 $119.637 +$0.343 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted September 15, 2026
1Q26 $119.294 +$88.971 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted September 15, 2026
4Q25 $30.323 +$2.336 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted September 8, 2026
3Q25 $27.987 +$3.276 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted March 10, 2026
2Q25 $24.711 $0.00 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted March 10, 2026
1Q25 $24.711 – 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted December 19, 2025
3Q23 $30.049 −$50.013 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted June 5, 2024
2Q23 $80.062 −$9.88 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted February 23, 2024
1Q23 $89.942 −$45.606 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted December 6, 2023
4Q22 $135.548 −$18.589 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted June 22, 2023
3Q22 $154.137 −$25.101 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted June 9, 2023
2Q22 $179.238 −$43.623 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted December 14, 2022
1Q22 $222.861 −$22.57 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted June 8, 2022
4Q21 $245.431 −$25.129 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted June 2, 2022
3Q21 $270.56 −$6.264 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted June 2, 2022
2Q21 $276.824 −$21.138 0.5 MG Inj pegfilgrastim-bmez 0.5mg v1, posted March 1, 2022
1Q21 $297.962 – 0.5 MG Inj pegfilgrastim-bmez 0.5mg 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