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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
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2020
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2020
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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
  <
July
2020
August
2020
September
2020
October
2020
November
2020
>
Total NDC's Aligned to this HCPCS Code
  4 4 4 4 4  
Average Sales Price: ASP   $73.96 $73.96 $73.96 $72.04 $72.04  
Effective Payment Limit: ASP+4.3%
  $77.14 $77.14 $77.14 $75.14 $75.14  
Medicare Payment Limit ASP+6%   $78.40 $78.40 $78.40 $76.36 $76.36  
Lowest HCPCS Unit WAC Price
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