| HCPCS Code | HCPCS Unit | HCPCS Code Descriptor |
| C9257 | 0.25 MG | |
| Manufacturer | Brand Name | Short Description |
| Genentech, Inc. | Avastin | Bevacizumab injection |
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July 2019 |
August 2019 |
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Total NDC's Aligned to this HCPCS Code
|
2 | 2 | 2 | 2 | 2 | ||
| Average Sales Price: ASP | $.00 | $.00 | $.00 | $.00 | $.00 | ||
Effective Payment Limit: ASP+4.3%
|
$.00 | $.00 | $.00 | $.00 | $.00 | ||
| Medicare Payment Limit ASP+6% | N/A | N/A | N/A | N/A | N/A | ||
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| HCPCS Code | HCPCS Unit | HCPCS Code Descriptor |
| J9035 | 10 MG | INJECTION, BEVACIZUMAB, 10 MG |
| Manufacturer | Brand Name | Short Description |
| Genentech, Inc. | AVASTIN | Bevacizumab injection |
| < | April 2019 |
May 2019 |
June 2019 |
July 2019 |
August 2019 |
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Total NDC's Aligned to this HCPCS Code
|
2 | 2 | 2 | 2 | 2 | ||
| Average Sales Price: ASP | $76.62 | $76.62 | $76.62 | $76.68 | $76.68 | ||
Effective Payment Limit: ASP+4.3%
|
$79.92 | $79.92 | $79.92 | $79.98 | $79.98 | ||
| Medicare Payment Limit ASP+6% | $81.22 | $81.22 | $81.22 | $81.28 | $81.28 | ||
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