Payment integrity
Knowledge Center
Centene · payment integrity
Reference table
Specialty Medical Injectable dates
CMS Part B ASP pricing file 2026 Q2
Unsigned
v1
Read by
asp_rate.
Those nodes reach this table through
table_lookup on
code. A key that is not in
the table is a no_match — the lookup fails
closed on that node and the walk continues. It is not
on_field_missing, which means something
different: that the claim did not carry the field.
smi
| code | description | effective from | effective to | asp per unit | billing unit | prior auth required |
|---|---|---|---|---|---|---|
| J9355 | Trastuzumab, 10 mg | 2026-04-01 | 2026-06-30 | 73.425 | 10 mg | True |
Versions
v1 · smi.v1.yaml
Active