CMS July 2026 Medicare Part B Payment Limit Files
Contract version 20260630204922-100f601a6833
- Detected
- 2026-06-30T20:49:22+00:00
- Source updated
- unknown
- Rows
- 890
Source Files For 20260630204922-100f601a6833
Sample Rows
| HCPCS Code | Short Description | HCPCS Code Dosage | Payment Limit | Co-insurance Percentage | Vaccine AWP% | Vaccine Limit | Blood AWP% | Blood limit | Clotting Factor | Notes |
|---|---|---|---|---|---|---|---|---|---|---|
| 90371 | Hep b ig im | 1 ML | 136.952 | 20 | ||||||
| 90375 | Rabies ig im/sc | 150 IU | 281.185 | 20 | ||||||
| 90377 | Rabies ig ht&sol human im/sc | 150 IU | 243.198 | 20 | ||||||
| 90632 | Hepa vaccine adult im | 1 ML | 75.735 | 20 | ||||||
| 90653 | Iiv adjuvant vaccine im | 0.5 ML | 98.16 | 0 | 95 | 98.16 | see the Seasonal Influenza Vaccines Pricing webpage for current payment limits and effective dates |
Open Data Contract YAML
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'
tags:
- cms.gov
revisions:
- 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: []
related_dataset_ids: []
quality:
score: 100
parsing_errors: []
stale_warning: null
broken_source_report: null
rss_feed_url: null
odc_version: 0.1