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The claim qualifier is the one state Medicaid programs pair with this unit type; commercial payers may differ.
Official CMS crosswalk rows for this NDC, newest first.
Medicare Part B payment limits for the crosswalked code(s).
P9046 · Q4 2026 · effective Oct 1, 2026 – Dec 31, 2026
$21.330per 20 ML
Official CMS 95% of AWP (blood product; per CMS file)
Derived calculation 12.5 units × $21.330 = $266.63 per 11-digit NDC package (arithmetic only; not a payment determination).
P9047 · Q4 2026 · effective Oct 1, 2026 – Dec 31, 2026
$53.324per 50 ML
Official CMS 95% of AWP (blood product; per CMS file)
Derived calculation 5 units × $53.324 = $266.62 per 11-digit NDC package (arithmetic only; not a payment determination).
Disclaimer. This application provides informational coding and reimbursement reference data. It does not constitute legal, clinical, coding, or billing advice. Codes, payment amounts, payer rules, and coverage policies can change. Verify all information with current CMS publications, the applicable payer, and your organization’s compliance policies before submitting a claim. CodeRx is not affiliated with or endorsed by CMS, FDA, Medicare, or any payer.