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Avastin (bevacizumab)


Billing

Code: J9035

Description: Bevacizumab injection

Unit: 10 mg

Payment: $73.810

Pay quarter: Q4 2023


Medicare history

Dosage and Frequency

Neovascular (Wet) Age-Related Macular Degeneration (AMD)

1.25mg IVT every 4-6 weeks

Calculate drug reimbursement


Total Reimbursement:

$9.23

(ASP: $8.70, Margin: $0.52)


Code:

J9035

# Units to bill:

1

Prior Authorization

Prior auth criteria for Avastin may include but is not limited to:





Insurance prior auth guidelines:


Billable NDCs

50242-0060-01

Avastin (GENENTECH, INC.)

100 MG


50242-0060-10

Avastin (GENENTECH, INC.)

1000 MG


50242-0061-01

Avastin (GENENTECH, INC.)

400 MG


50242-0061-10

Avastin (GENENTECH, INC.)

4000 MG



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