Home › Drug Codes › Q Codes › Q3027 · AVONEX
Updated July 1st, 2026

AVONEX Q Code: Q3027

Injection, interferon beta-1a, 1 mcg for intramuscular use

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Medicare Payment Limit ?
Not published
CMS publishes none for Q3 2026
APC Payment Limit ?
Not published
CMS publishes none for Q3 2026
ASP ?
No current ASP
Not available for Q3 2026
WAC · AWP ?
$•••.••
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NDCs Crosswalked ?
2
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Self-Administered Drug Exclusion 5 Medicare Administrative Contractors list Q3027 as usually self-administered and exclude it from Part B coverage in their jurisdictions. Check the article for your MAC before billing: CGS, Noridian (A53032), Noridian (A53033), Palmetto, Wellpoint Federal, WPS · All SAD lists →

Drug & Product Overview

HCPCS Descriptor Injection, interferon beta-1a, 1 mcg for intramuscular use
HCPCS Added Date January 1, 2014
Manufacturer Biogen
Route of Administration Intramuscular
Generic Status Single-Source; Branded
Dosage Type Single-Dose
Dosage Form Kit

About AVONEX

Avonex is a medication aligned to the HCPCS Q Code: Q3027 for billing, pricing, and reimbursement purposes in the United States. It is a Neurology drug administered via the intramuscular route and manufactured by Biogen.

According to CMS Drug Use Information: This medication is used to treat multiple sclerosis (MS). Interferon is not a cure for MS, but it may help to slow disease worsening and decrease flare-ups of symptoms (such as balance problems, numbness, or weakness).

Disclaimer: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your healthcare professional.

NDC Code Information

2 NDC packages are crosswalked to Q3027. Package detail is available to logged-in subscribers.

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AVONEX Pricing & Reimbursement

Q3027 Private Payer Reimbursement
$72.46 / HCPCS unit as of Jan 2026

National median reimbursement across major commercial payers.

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UnitedHealthcare, BlueCross BlueShield, Aetna, Cigna

AVONEX CPT Administration Codes

The below list of CPT codes is intended for informational purposes only and may not be exhaustive. CPT® codes and descriptions are copyright American Medical Association (AMA). All rights reserved.

CPT Code Description
96372 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intramuscular
JW / JZ modifiers apply

CMS has identified Avonex (Q3027) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. Wastage billing guide →

AVONEX Medically Unlikely Edits (MUE)

The most billing units of Q3027 Medicare will pay for one patient in one day, as published by CMS. 1 unit = 1 mcg.

Practitioner Office & Hospital Outpatient
30 units / day
= 30 mcg per day

MAI 3 · Date of Service Edit: Clinical. Per-day limit based on clinical expectations; excess units are denied but may be appealed with documentation of medical necessity. See all MUE limits →

mcg Enter a dose to see how many billing units it is and whether it is under the limit.

AVONEX Clinical Information

Indications and drug classification.

Treated Diseases & Conditions

This list of indications is not exhaustive and may be subject to errors. The information on BuyandBill.com is intended for informational purposes only and should not be used for medical advice.

relapsing forms of multiple sclerosis

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Frequently Asked Questions

Is there an available Avonex billing and coding guide?
Our team has not identified a manufacturer-published source of billing and coding information for AVONEX.
Are there any available Avonex patient assistance programs?
AVONEX patient assistance information can be found through Biogen. Visit Here →
Where can I find Avonex prescribing information?
AVONEX prescribing information can be found at the link below: Visit Here →
Where can I find Avonex side effect information?
Information regarding AVONEX's side effects can be found at MedlinePlus Visit Here →
Does billing AVONEX require JZ/JW wastage modifiers?
CMS has identified AVONEX(Q3027) as a HCPCS code with single-dose containers. Therefore, the JW/JZ wastage modifiers could be required for billing purposes. See CMS guidelines on use of the JZ and JW wastage modifiers below.

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