HCPCS code J9026: Tarlatamab injection, per 1 mg2026 Medicare rate & RVUs in New Mexico

CMS doesn’t publish a rate for J9026 in New Mexico.

Check a contract rate as a % of Medicare · J9026 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What J9026 covers

Tarlatamab-dlle (Imdelltra) is an intravenous immunotherapy used for adults with extensive-stage small cell lung cancer that has progressed during or after platinum-based chemotherapy. It engages T cells and cancer cells through DLL3, prompting an immune response against the tumor. Oncology clinicians administer it by infusion, typically in a hospital outpatient department or infusion center, with step-up dosing at treatment initiation.

J9026 represents 1 mg of tarlatamab-dlle, so the HCPCS unit count corresponds to the number of milligrams administered. CMS excludes the code from the physician fee schedule under status E. When Medicare covers the drug, payment is through another method; the HCPCS pricing method identifies it as a Part B drug generally paid using CMS quarterly Average Sales Price drug pricing files. Coverage is left to the Medicare contractor’s judgment.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How New Mexico compares for J9026

Every other payment area

J9026 rates by state

Office rate range in each state. Select a state to see its payment localities.

See J9026 in every payment locality

How the J9026 rate is calculated

Each of J9026’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for J9026

J9026 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to J9026

Related codes aren’t interchangeable: bill the code that matches the service performed.

How J9026 has changed in New Mexico

Price J9026 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates