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Definition · Claims processing and coverage determinations

Average sales price

Average sales price is the manufacturer-reported price Medicare uses to pay many Part B drugs. CMS publishes a quarterly payment file and an NDC to HCPCS crosswalk. This site stores the October 2026 crosswalk, effective October 1, 2026 through December 31, 2026. It does not store the short descriptor, which can be CPT text. The lookup is at /hcpcs.

Average sales price

The crosswalk on this site has 877 HCPCS codes and 7,222 NDC rows. A code page lists the NDCs. An NDC page lists the HCPCS code and the billable units.

Source: CMS October 2026 NDC-HCPCS crosswalk, final file.

Questions

Average sales price, answered

Does the page show the dollar payment limit?
No. It shows the NDC crosswalk and the billable units. It does not show the payment amount.

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