Hocm 350-399mg/ml iodine,1ml
Products billed under this code include Gastrografin, Md Gastroview.
Payment limit per 1 ML, 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 this code include Gastrografin, Md Gastroview.
Payment limit per 1 ML, by effective quarter, 1Q21 to 4Q26. Gaps mean the code was not in that quarter’s file, or CMS gave no payment limit.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 |
|---|---|---|---|---|
| Gastrografin | Bracco Diagnostics Inc. | 00270-0445-35 | 720 | $157.68 |
| Gastrografin | Bracco Diagnostics Inc. | 00270-0445-40 | 1440 | $315.36 |
| Md Gastroview | Liebel-Flarsheim Company LLC | 00019-4816-04 | 750 | $164.25 |
| Quarter | Payment limit | Change | Billing unit | Description | Source file |
|---|---|---|---|---|---|
| 4Q26 | $0.219 | +$0.005 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted September 17, 2026 |
| 3Q26 | $0.214 | −$0.004 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted September 15, 2026 |
| 2Q26 | $0.218 | −$0.005 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted September 15, 2026 |
| 1Q26 | $0.223 | +$0.007 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted September 15, 2026 |
| 4Q25 | $0.216 | −$0.001 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted September 8, 2026 |
| 3Q25 | $0.217 | −$0.002 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted March 10, 2026 |
| 2Q25 | $0.219 | +$0.002 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted March 10, 2026 |
| 1Q25 | $0.217 | $0.00 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted December 19, 2025 |
| 4Q24 | $0.217 | $0.00 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted June 11, 2025 |
| 3Q24 | $0.217 | $0.00 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted June 11, 2025 |
| 2Q24 | $0.217 | +$0.007 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted March 11, 2025 |
| 1Q24 | $0.21 | −$0.005 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted December 19, 2024 |
| 4Q23 | $0.215 | +$0.003 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted October 10, 2024 |
| 3Q23 | $0.212 | +$0.003 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted June 5, 2024 |
| 2Q23 | $0.209 | +$0.003 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted February 23, 2024 |
| 1Q23 | $0.206 | −$0.022 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted December 6, 2023 |
| 4Q22 | $0.228 | +$0.043 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted June 22, 2023 |
| 3Q22 | $0.185 | +$0.002 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted June 9, 2023 |
| 2Q22 | $0.183 | −$0.002 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted December 14, 2022 |
| 1Q22 | $0.185 | −$0.004 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted June 8, 2022 |
| 4Q21 | $0.189 | +$0.001 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted June 2, 2022 |
| 3Q21 | $0.188 | +$0.003 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted June 2, 2022 |
| 2Q21 | $0.185 | +$0.001 | 1 ML | Hocm 350-399mg/ml iodine,1ml | v1, posted March 1, 2022 |
| 1Q21 | $0.184 | – | 1 ML | Hocm 350-399mg/ml iodine,1ml | 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.