HCPCS Code | HCPCS Unit | HCPCS Code Descriptor |
C9257 | 0.25 MG | |
Manufacturer | Brand Name | Short Description |
Genentech, Inc. | Avastin | Bevacizumab injection |
< | October 2018 |
November 2018 |
December 2018 |
January 2019 |
February 2019 |
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Total NDC's Aligned to this HCPCS Code
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2 | 2 | 2 | 2 | 2 | ||
Average Sales Price: ASP | $.00 | $.00 | $.00 | $.00 | |||
Effective Payment Limit: ASP+4.3%
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$.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 |
< | May 2018 |
June 2018 |
July 2018 |
August 2018 |
September 2018 |
> | |
Total NDC's Aligned to this HCPCS Code
|
2 | 2 | 2 | 2 | 2 | ||
Average Sales Price: ASP | $72.80 | $72.80 | $74.39 | $74.39 | $74.39 | ||
Effective Payment Limit: ASP+4.3%
|
$75.93 | $75.93 | $77.59 | $77.59 | $77.59 | ||
Medicare Payment Limit ASP+6% | $77.17 | $77.17 | $78.85 | $78.85 | $78.85 | ||
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