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HCPCS Code HCPCS Unit HCPCS Code Descriptor
Q5111 0.5 MG Injection, pegfilgrastim-cbqv, biosimilar, (udenyca), 0.5 mg
Manufacturer Brand Name Short Description
COHERUS BIOSCIE UDENYCA Injection, udenyca 0.5 mg
  <
June
2021
July
2021
August
2021
September
2021
October
2021
November
2021
December
2021
January
2022
February
2022
March
2022
April
2022
May
2022
>
Total NDC's Aligned to this HCPCS Code
  1 1 1 1 1 1 1 1 1 1 1 1  
ASP: Average Sales Price   $223.66 $224.04 $224.04 $224.04 $197.91 $197.91 $197.91 $179.87 $179.87 $179.87 $163.24 $163.24  
Medicare Payment Limit   $251.30 $251.74 $251.74 $251.74 $222.38 $222.38 $222.38 $202.10 $202.10 $202.10 $183.41 $183.41  
APC: Ambulatory Procedure Code Payment Limit   $251.30 $251.74 $251.74 $251.74 $222.38 $222.38 $222.38 $202.10 $202.10 $202.10 $183.41 $183.41  
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