dataset_id: cms-asp-july-2026-payment-limit-files
title: CMS July 2026 Medicare Part B Payment Limit Files
description: CMS July 2026 Medicare Part B Payment Limit Files discovered from cms.gov.
source_name: cms.gov
source_url: https://www.cms.gov/files/zip/july-2026-medicare-part-b-payment-limit-files.zip
update_frequency: monthly
next_scan_at: '2026-07-01T20:49:22.129558+00:00'
license:
  name: CMS terms
  url: https://www.cms.gov/
tags:
- cms.gov
geography:
- United States
revisions:
- revision_id: 20260630204922-8a5981db4ab8
  detected_at: '2026-06-30T20:49:22+00:00'
  source_updated_at: null
  context: July 2026 Drugs Not Payable Under Part B 060226.xls detected from july-2026-medicare-part-b-payment-limit-files.zip.
  assets:
  - asset_id: asset-d475e2a7b0e87dd6
    name: july-2026-medicare-part-b-payment-limit-files.zip
    source_url: https://www.cms.gov/files/zip/july-2026-medicare-part-b-payment-limit-files.zip
    media_type: application/zip
    content_hash: d475e2a7b0e87dd635a8dc3fdf6d72200fbc6dcfc46e7e8a3931d96a4d643797
    size_bytes: 83139
    parent_archive_id: null
  - asset_id: asset-7479ed829a3932f9
    name: July 2026 Drugs Not Payable Under Part B 060226.xls
    source_url: https://www.cms.gov/files/zip/july-2026-medicare-part-b-payment-limit-files.zip
    media_type: application/vnd.ms-excel
    content_hash: 7479ed829a3932f9593d06af2fc3082d591867d1796709adf520f4f828325f07
    size_bytes: 33280
    parent_archive_id: asset-d475e2a7b0e87dd6
  row_count: 8
  headers:
  - HCPCS Code
  - Long Description
  - Manufacturer
  sample_rows:
  - HCPCS Code: A9521
    Long Description: Technetium tc-99m exametazime, diagnostic, per study dose, up
      to 25 millicuries
    Manufacturer: Jubilant Draximage Inc., dba Jubilant Radiopharma
  - HCPCS Code: J0716
    Long Description: Injection, centruroides immune f(ab)2, up to 120 milligrams
    Manufacturer: Rare Disease Therapeutics, Inc.
  - HCPCS Code: J0841
    Long Description: Injection, crotalidae immune f(ab')2 (equine), 120 mg
    Manufacturer: Rare Disease Therapeutics, Inc.
  - HCPCS Code: J7330
    Long Description: Autologous cultured chondrocytes, implant
    Manufacturer: Vericel Corporation
  - HCPCS Code: J7353
    Long Description: Anacaulase-bcdb, 8.8% gel, 1 gram
    Manufacturer: Vericel Corporation
  parser_errors: []
- revision_id: 20260630204922-100f601a6833
  detected_at: '2026-06-30T20:49:22+00:00'
  source_updated_at: null
  context: July 2026 Medicare Part B Payment Limit File 061626.xls detected from july-2026-medicare-part-b-payment-limit-files.zip.
  assets:
  - asset_id: asset-d475e2a7b0e87dd6
    name: july-2026-medicare-part-b-payment-limit-files.zip
    source_url: https://www.cms.gov/files/zip/july-2026-medicare-part-b-payment-limit-files.zip
    media_type: application/zip
    content_hash: d475e2a7b0e87dd635a8dc3fdf6d72200fbc6dcfc46e7e8a3931d96a4d643797
    size_bytes: 83139
    parent_archive_id: null
  - asset_id: asset-8b150a6441a00731
    name: July 2026 Medicare Part B Payment Limit File 061626.xls
    source_url: https://www.cms.gov/files/zip/july-2026-medicare-part-b-payment-limit-files.zip
    media_type: application/vnd.ms-excel
    content_hash: 8b150a6441a007313c600f802e1f6b7edc870a0bcb33ca31f87626e1c3c737a3
    size_bytes: 177152
    parent_archive_id: asset-d475e2a7b0e87dd6
  row_count: 890
  headers:
  - HCPCS Code
  - Short Description
  - HCPCS Code Dosage
  - Payment Limit
  - Co-insurance Percentage
  - Vaccine AWP%
  - Vaccine Limit
  - Blood AWP%
  - Blood limit
  - Clotting Factor
  - Notes
  sample_rows:
  - HCPCS Code: 90371
    Short Description: Hep b ig im
    HCPCS Code Dosage: 1 ML
    Payment Limit: 136.952
    Co-insurance Percentage: 20
    Vaccine AWP%: ''
    Vaccine Limit: ''
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: ''
  - HCPCS Code: 90375
    Short Description: Rabies ig im/sc
    HCPCS Code Dosage: 150 IU
    Payment Limit: 281.185
    Co-insurance Percentage: 20
    Vaccine AWP%: ''
    Vaccine Limit: ''
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: ''
  - HCPCS Code: 90377
    Short Description: Rabies ig ht&sol human im/sc
    HCPCS Code Dosage: 150 IU
    Payment Limit: 243.198
    Co-insurance Percentage: 20
    Vaccine AWP%: ''
    Vaccine Limit: ''
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: ''
  - HCPCS Code: 90632
    Short Description: Hepa vaccine adult im
    HCPCS Code Dosage: 1 ML
    Payment Limit: 75.735
    Co-insurance Percentage: 20
    Vaccine AWP%: ''
    Vaccine Limit: ''
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: ''
  - HCPCS Code: 90653
    Short Description: Iiv adjuvant vaccine im
    HCPCS Code Dosage: 0.5 ML
    Payment Limit: 98.16
    Co-insurance Percentage: 0
    Vaccine AWP%: 95
    Vaccine Limit: 98.16
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: see the Seasonal Influenza Vaccines Pricing webpage for current payment
      limits and effective dates
  parser_errors: []
- revision_id: 20260630204922-cfa1df3deb20
  detected_at: '2026-06-30T20:49:22+00:00'
  source_updated_at: null
  context: section 508 version of July 2026 Drugs Not Payable Under Part B 060226.csv
    detected from july-2026-medicare-part-b-payment-limit-files.zip.
  assets:
  - asset_id: asset-d475e2a7b0e87dd6
    name: july-2026-medicare-part-b-payment-limit-files.zip
    source_url: https://www.cms.gov/files/zip/july-2026-medicare-part-b-payment-limit-files.zip
    media_type: application/zip
    content_hash: d475e2a7b0e87dd635a8dc3fdf6d72200fbc6dcfc46e7e8a3931d96a4d643797
    size_bytes: 83139
    parent_archive_id: null
  - asset_id: asset-d6523db268561687
    name: section 508 version of July 2026 Drugs Not Payable Under Part B 060226.csv
    source_url: https://www.cms.gov/files/zip/july-2026-medicare-part-b-payment-limit-files.zip
    media_type: text/csv
    content_hash: d6523db2685616876a9ebaabbbbf3dff38c2bf497eccdaac786f26ed8db570ac
    size_bytes: 2258
    parent_archive_id: asset-d475e2a7b0e87dd6
  row_count: 8
  headers:
  - HCPCS Code
  - Long Description
  - Manufacturer
  sample_rows:
  - HCPCS Code: A9521
    Long Description: Technetium tc-99m exametazime, diagnostic, per study dose, up
      to 25 millicuries
    Manufacturer: Jubilant Draximage Inc., dba Jubilant Radiopharma
  - HCPCS Code: J0716
    Long Description: Injection, centruroides immune f(ab)2, up to 120 milligrams
    Manufacturer: Rare Disease Therapeutics, Inc.
  - HCPCS Code: J0841
    Long Description: Injection, crotalidae immune f(ab')2 (equine), 120 mg
    Manufacturer: Rare Disease Therapeutics, Inc.
  - HCPCS Code: J7330
    Long Description: Autologous cultured chondrocytes, implant
    Manufacturer: Vericel Corporation
  - HCPCS Code: J7353
    Long Description: Anacaulase-bcdb, 8.8% gel, 1 gram
    Manufacturer: Vericel Corporation
  parser_errors: []
- revision_id: 20260630204922-37083479faae
  detected_at: '2026-06-30T20:49:22+00:00'
  source_updated_at: null
  context: section 508 version of July 2026 Medicare Part B Payment Limit File 061626.csv
    detected from july-2026-medicare-part-b-payment-limit-files.zip.
  assets:
  - asset_id: asset-d475e2a7b0e87dd6
    name: july-2026-medicare-part-b-payment-limit-files.zip
    source_url: https://www.cms.gov/files/zip/july-2026-medicare-part-b-payment-limit-files.zip
    media_type: application/zip
    content_hash: d475e2a7b0e87dd635a8dc3fdf6d72200fbc6dcfc46e7e8a3931d96a4d643797
    size_bytes: 83139
    parent_archive_id: null
  - asset_id: asset-c73883dbddb5e5eb
    name: section 508 version of July 2026 Medicare Part B Payment Limit File 061626.csv
    source_url: https://www.cms.gov/files/zip/july-2026-medicare-part-b-payment-limit-files.zip
    media_type: text/csv
    content_hash: c73883dbddb5e5eb8397a2e5fa008e71760e81236c9ee5b5d92f4918daeead2e
    size_bytes: 62434
    parent_archive_id: asset-d475e2a7b0e87dd6
  row_count: 890
  headers:
  - HCPCS Code
  - Short Description
  - HCPCS Code Dosage
  - Payment Limit
  - Co-insurance Percentage
  - Vaccine AWP%
  - Vaccine Limit
  - Blood AWP%
  - Blood limit
  - Clotting Factor
  - Notes
  sample_rows:
  - HCPCS Code: 90371
    Short Description: Hep b ig im
    HCPCS Code Dosage: 1 ML
    Payment Limit: 136.952
    Co-insurance Percentage: 20.0
    Vaccine AWP%: ''
    Vaccine Limit: ''
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: ''
  - HCPCS Code: 90375
    Short Description: Rabies ig im/sc
    HCPCS Code Dosage: 150 IU
    Payment Limit: 281.185
    Co-insurance Percentage: 20.0
    Vaccine AWP%: ''
    Vaccine Limit: ''
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: ''
  - HCPCS Code: 90377
    Short Description: Rabies ig ht&sol human im/sc
    HCPCS Code Dosage: 150 IU
    Payment Limit: 243.198
    Co-insurance Percentage: 20.0
    Vaccine AWP%: ''
    Vaccine Limit: ''
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: ''
  - HCPCS Code: 90632
    Short Description: Hepa vaccine adult im
    HCPCS Code Dosage: 1 ML
    Payment Limit: 75.735
    Co-insurance Percentage: 20.0
    Vaccine AWP%: ''
    Vaccine Limit: ''
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: ''
  - HCPCS Code: 90653
    Short Description: Iiv adjuvant vaccine im
    HCPCS Code Dosage: 0.5 ML
    Payment Limit: 98.16
    Co-insurance Percentage: 0.0
    Vaccine AWP%: 95
    Vaccine Limit: 98.16
    Blood AWP%: ''
    Blood limit: ''
    Clotting Factor: ''
    Notes: see the Seasonal Influenza Vaccines Pricing webpage for current payment
      limits and effective dates
  parser_errors: []
related_dataset_ids: []
quality:
  score: 100
  parsing_errors: []
  stale_warning: null
  broken_source_report: null
rss_feed_url: null
odc_version: 0.1