HCPCS Level IIStatus E
HCPCS Code J1558
Injection, immune globulin (xembify), 100 mg
Source: CMS 2026 ASP Pricing FileEffective Reviewed by the D3rx Clinical Billing Team
2026 ASP pricing
ASP payment limit
$14.85
Per billing unit (100 MG) · 2026 Q1
HCPCS J1558 is not priced under the Physician Fee Schedule (status E). Drugs and biologicals are reimbursed at 106% of the Average Sales Price (ASP), not under the RVU-based Physician Fee Schedule. The amount above is the published payment limit; actual payment is the lower of the billed charge or this limit, and may differ by quarter.
Related HCPCS Level II codes
Medical billing disclaimer
Rates shown are 2026 ASP Pricing File amounts and are for educational reference. Commercial payers, locality, and plan rules vary. Always verify current rates and coverage with the payer before billing. D3rx is not responsible for claim outcomes.