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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
  <
April
2019
May
2019
June
2019
July
2019
August
2019
 >
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  
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
  <
November
2018
December
2018
January
2019
February
2019
March
2019
 >
Total NDC's Aligned to this HCPCS Code
(?)
   2 2 2 2 2  
Average Sales Price: ASP   $74.77 $74.77 $76.58 $76.58 $76.58  
Effective Payment Limit: ASP+4.3%
(?)
   $77.98 $77.98 $79.88 $79.88 $79.88  
Medicare Payment Limit ASP+6%   $79.25 $79.25 $81.18 $81.18 $81.18  
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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