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HCPCS Code HCPCS Unit HCPCS Code Descriptor
C9257 0.25 MG
Manufacturer Brand Name Short Description
Genentech, Inc. Avastin Bevacizumab injection
  <
August
2018
September
2018
October
2018
November
2018
December
2018
 >
Total NDC's Aligned to this HCPCS Code
(?)
   2 2 2 2 2  
Average Sales Price: ASP   $.00 $.00 $.00 $.00  
Effective Payment Limit: ASP+4.3%
(?)
   $.00 $.00 $.00 $.00  
Medicare Payment Limit ASP+6%   N/A N/A N/A N/A N/A  
Lowest HCPCS Unit WAC Price
(?)
 Please to view this data.
Highest HCPCS Unit WAC Price
(?)
Lowest HCPCS Unit AWP Price
(?)
Highest HCPCS Unit AWP Price
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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
  <
March
2018
April
2018
May
2018
June
2018
July
2018
 >
Total NDC's Aligned to this HCPCS Code
(?)
   2 2 2 2 2  
Average Sales Price: ASP   $72.32 $72.80 $72.80 $72.80 $74.39  
Effective Payment Limit: ASP+4.3%
(?)
   $75.43 $75.93 $75.93 $75.93 $77.59  
Medicare Payment Limit ASP+6%   $76.66 $77.17 $77.17 $77.17 $78.85  
Lowest HCPCS Unit WAC Price
(?)
 Please to view this data.
Highest HCPCS Unit WAC Price
(?)
Lowest HCPCS Unit AWP Price
(?)
Highest HCPCS Unit AWP Price
(?)




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