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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
  <
October
2018
November
2018
December
2018
January
2019
February
2019
 >
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
(?)




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  
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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